Helping Angels, Inc
Inspection 2021-02-23
· Complaint, Recertification · 27 deficiencies · CMS source report (PDF)The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health, psychosocial, functional, and cognitive status (See Tag G528); failed to ensure the comprehensive assessment included the patient's individual progress towards goals (See Tag G530); failed…
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The home health agency failed to ensure the plan of care included all pertinent diagnoses, the patient's mental and psychosocial status, all supplies and agency services required, the frequency and duration of visits to be made, a complete and accurate list of the patient's medications…
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The home health agency failed to ensure all patients had one clinical record, including one start of care date, for 1 of 1 active patients with multiple clinical records and starts of care (#4), in a total sample of 11 records.
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The home health agency failed to evidence its quality assurance and performance improvement (QAPI) program documented which quality indicators it would track, failed to evidence the frequency and method in which quality indicators were to be measured, analyzed, and tracked, and failed to evidence…
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The home health agency failed to ensure all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#1, 2, 3).
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The home health agency failed to ensure an agency-wide infection control program was maintained for the surveillance, identification, prevention, control, and investigation of patient and staff infections for 7 of 7 infection control log entries of patients with documented symptoms of COVID-19 (#1…
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The home health agency failed to ensure home health aides (HHA) were oriented and competency checked on the proper use of Hoyer lifts for 1 of 1 HHAs observed transferring a patient with a Hoyer lift (HHA #1) and were trained on patient-specific Hoyer lifts via manufacturer's instructions for use…
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The Registered Nurse (RN) failed to develop a home health aide (HHA) care plan which was specific to the patient's needs for 4 of 4 active records reviewed of patients with HHA services (#1, 2, 3, 4), in a total sample of 11 records.
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The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health, psychosocial, functional, and cognitive status for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 11 records.
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The home health agency failed to ensure the comprehensive assessment included the patient's individual progress towards goals for 4 of 5 active records reviewed (#1, 2, 3, 4), in a total sample of 11 records.
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The home health agency failed to ensure the comprehensive assessment included the patient's medical, nursing, and discharge planning needs for 5 of 5 active records (#1, 2, 3, 4, 5) in a total sample of 11 records.
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The home health agency failed to ensure the comprehensive assessment contained a medication list which was accurate and complete for 4 of 5 active records reviewed (#1, 2, 4, 5), in a total sample of 11 records.
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The home health agency failed to ensure the comprehensive assessment included the presence or absence of a primary caregiver, the primary caregiver's willingness and ability to provide care, and the primary caregiver's availability and schedules for 5 of 5 active records (#1, 2, 3, 4, 5), in a…
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The home health agency failed to ensure the plan of care (POC) included all pertinent diagnoses, the patient's mental and psychosocial status, all supplies and agency services required, the frequency and duration of visits to be made, a complete and accurate list of the patient's medications…
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The home health agency failed to ensure all drugs and services were administered only as ordered by a physician for 4 of 5 active records reviewed (#1, 2, 4, 5), in a total sample of 11 records.
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The home health agency failed to ensure all verbal orders were authenticated and dated by the ordering provider for 1 of 1 active record reviewed which evidenced verbal orders were received (#5), in a total sample of 11 records.
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The home health agency failed ensure the patient's medical provider was notified of a change in the patient's condition for 1 of 1 active records with a noted change in patient condition (#5), in a total sample of 11 records.
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The home health agency failed to ensure the revised plan of care (POC) contained the patient's progress towards their goals for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 11 records.
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The home health agency failed to ensure care was coordinated with shared patient home care agencies for 1 of 4 active records reviewed of patients who received care from multiple home care agencies (#2), in a total sample of 11 records.
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The home health agency failed to provide the patient with a visit schedule for 3 of 3 home visit observations performed (#1, 2, 3).
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The home health agency failed to provide and maintain a plan of care within the patient's home for 3 of 3 home visit observations (#1, 2, 3), and failed to ensure the patient's record and home binder contained the manufacturer's instructions for specialty transfer equipment for 3 of 3 patients with…
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The home health agency failed to ensure the patient's home binder contained up-to-date contact information for the agency's clinical supervisor for 3 of 3 home visit observations (#1, 2, 3).
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The home health agency failed to ensure its quality assurance and performance improvement (QAPI) program measured and analyzed its performance improvement projects (PIP) for success and sustained improvements.
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The Registered Nurse (RN) failed to conduct and document a complete and thorough assessment per professional and agency standards for 1 of 1 skilled nurse visit observations (#1) and failed to assess the patient's skin and wound condition for 1 of 2 active patient records with the presence of a…
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The home health aide (HHA) failed to complete all tasks included on the aide care plan for 4 of 4 active records reviewed of patients with HHA services (#1, 2, 3, 4), and failed to complete only tasks as written on the aide care plan and within the scope of their practice for 2 of 4 active records…
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The home health agency failed to ensure written agreements were in place which delineated the services each agency was to provide for 3 of 3 active shared patient records reviewed (#1, 2, 4), which had the potential to affect 16 of 16 patients identified as receiving services from at least one…
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The home health agency failed to ensure written agreements were in place which delineated which agency was the primary agency for 3 of 3 active shared patient records reviewed (#1, 2, 4), which had the potential to affect 16 of 16 patients identified as receiving services from at least one other…
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Inspection 2018-01-11
· Initial Certification · 4 deficiencies · CMS source report (PDF)The agency failed to obtain proper consent for treatment before the initiation of care for 1 out of 11 records reviewed (# 8).
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The agency failed to ensure that agency staff followed infection control policies for 1 of 4 home visits (#4).
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The agency failed to ensure that the home health aide (HHA) followed the tasks on the aide care plan for 1 of 11 records reviewed (#4).
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The agency failed to ensure that an initial assessment visit was documented for 11 of 11 records reviewed (#1,2,3,4,5,6,7,8,9,10,11).
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