Holy Family Memorial Inc.

The agency failed to transmit OASIS (Outcome and Assessment Information Set) assessments within 30 days.

The agency failed to inform patient and/or patient's legal representatives, in writing, of the right to have his or her property and person treated with respect in 1 of 1 home health admission booklets reviewed.

The agency failed to inform patient and/or patient's legal representatives of the right to participate in, be informed of and consent or refuse care regarding completion of assessments, care to be furnished based on assessments, and establishing and revising of the plan of care in 1 of 1 home…

The agency failed to inform patient and/or patient's legal representatives of the right to receive all services as outlined in the plan of care in 1 of 1 home health admission booklets reviewed.

The agency failed to inform patient and/or patient's legal representatives of the complaint procedures for the agency’s responsibility to investigate complaints made including treatment or care that is or fails to be furnished, and regarding mistreatment, neglect, or verbal, mental, sexual and…

The agency failed to inform patient and/or patient's legal representatives of the complaint procedures that the agency must take action to prevent further potential violations, including retaliation while a complaint is being investigated in 1 of 1 home health admission booklets reviewed.

The agency failed to inform patient and/or patient's legal representatives of the agency’s staff responsibility to report incidences of mistreatment, neglect, or verbal, mental, sexual and physical abuse, and misappropriation of property by anyone furnishing services immediateley to the home health…

Agency staff failed to document wound measurements in 3 out of 4 medical records with wounds out of a total of 10 patient records reviewed (Patients # 6,7,8).

The home health agency failed to analyze the agency's response to the emergency preparedness tabletop exercise/drill as part of a health system and need for emergency preparedness plan revision based on the analysis in 1 of 1 Emergency Preparedness Programs reviewed.

The agency and healthcare integrated system failed to demonstrate and document the home health agency’s active involvement in the tabletop exercise/drill in 1 of 1 Emergency Preparedness Programs reviewed.

This agency failed to provide services ordered on the plan of care in 1 of 5 patient observations (Patient # 2.) Findings Include: Review of policy titled "Coordination of Services and Documentation #15184-8219 version 7.2" dated 6/8/2021, revealed in part, "Policy 1.2. The individualized Plan of…

The agency failed to document an updated emergency contact list in 1 of 1 emergency preparedness program reviewed.

The agency failed to notify patients of their right to have clinical records made available, free of charge, upon request at the next home visit or within four business days, whichever comes first, in 1 of 1 "Rights and Responsibilities" forms reviewed.

The agency failed to inform the patient and/or representative of their rights, orally or in writing, of any changes in care regarding the payment sources and charges as soon as possible in advance of the next home health visit in 13 of 13 patients (Patient's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10…