Home Health Angels LLC

The home health agency failed to ensure the plan of care was updated at recertification and failed to ensure the patient received services as ordered (See G572); failed to ensure the POC included measures to address all safety concerns, frequency and duration of visits to be made, patient-specific…

The home health agency failed to ensure the HHA was currently certified to provide home health services (See G754); failed to ensure the HHA provided services as ordered in the HHA POC (See G800) and failed to ensure the RN supervised the HHA every 14 days (See Tag G808).

The agency failed to ensure the Administrator was managing the day-to-day operations of the agency (see G948); failed to ensure a clinical manager was available during operating hours (See G950); failed to ensure the Clinical Manager was involved in daily activities of the agency (See G958); and…

The home health agency failed to ensure its EP plan included strategies for addressing emergency events identified by the risk assessment, which had the potential to affect all active patients and employees.

The home health agency failed to ensure its EP communication plan included name and contact information for all staff, which had the potential to affect all agency staff and patients.

The home health agency failed to ensure its EP communication plan included contact information for Federal, State, and local emergency preparedness staff, which had the potential to affect all agency staff and patients.

The agency failed to ensure the POC was updated at recertification for 4 of 4 active records reviewed with OT recertification (Patients #3, 4, 6, 7) and failed to ensure the patient received all PT and OT services as ordered in the plan of care for 1 of 1 discharged record reviewed where Patient…

The agency failed to measure, document improvement actions and track quality indicators for 1 of 1 agency.

The agency failed to ensure the Governing Body approved the frequency and detail of the data collection of the QAPI program for 1 of 1 agency.

The agency failed to ensure employees followed standards of practice for hand hygiene and bag technique to reduce the spread of infections for 2 of 3 home visit observations (Patients #2 and 3).

The agency failed to ensure the Clinical Manager was involved in daily activities of the agency for 1 of 1 home health agency surveyed.

The home health agency failed to conduct an initial assessment to determine the patient's immediate care and support needs within 48 hours of referral for 5 of 9 records reviewed (Patients #1, 5, 6, 7, 8, 9).

The home health agency failed to conduct a comprehensive assessment which included an evaluation for all referred services within 5 days of the start of care for 2 of 3 records reviewed with SOC in the last 3 months (Patient #1 and 8).

The home health agency failed to ensure an accurate review of all medications for 2 of 2 active records reviewed who reside in an Assisted Living Facility (ALF) (Patient #6 and 7).

The home health agency failed to ensure the therapy evaluation was completed within 5 days of the recertification for 4 of 4 active records reviewed with a therapy recertification (Patient #3, 4, 6 and 7).

The home health agency failed to conduct a ROC re-evaluation for all services within 48 hours from a patient’s return home after hospitalization for 1 of 2 records reviewed of a patient who was hospitalized (Patient #9).

The home health agency failed to ensure the POC included measures to address all safety concerns, frequency and duration of visits to be made, patient-specific interventions, and measurable outcomes and goals, for 9 of 9 full records reviewed (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9) and 1 of 4 focused…

The home health agency failed to ensure all orders were recorded into the POC for 1 of 1 active wound clinic patient (Patient #5).

The home health agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for 6 of 7 active patient records reviewed (Patient #1, 3, 4, 5, 6 and 7).

The home health agency failed to ensure the patient/caregiver was provided with written POC information including all treatments administered by the agency for 3 of 3 home visits observed (Patient #1, 2, and 3).

The home health agency failed to provide the patient and/or caregiver with accurate clinical manager information for 3 of 3 active patients with home visit observations (Patient #1, 2 and 3).

The OT failed to ensure a recertification OT POC was created for 4 of 4 patients who received OT services with a recertification period (Patient #3, 4, 6 and 7).

The home health agency failed to ensure all OT visit note documentation was completed accurately for 4 of 4 active patient records reviewed who have received OT services for at least 30 days (Patient's #3, 4, 6 and 7).

The home health agency failed to ensure the PT POC was reviewed with the attending physician and/or a verbal or written order was obtained prior to visits being performed for 5 of 5 active patient records reviewed who received PT services (Patient #1, 2, 3, 4 and 6) and failed to ensure the OT…

The home health agency failed to ensure the HHA was currently certified to provide home health services for 1 of 1 HHA personnel file reviewed (HHA 1), which had the potential to affect 12 of 12 patients who received services during the time frame the aide was not certified (Patients #6, 7, 11, 12…

The home health agency failed to ensure the HHA provided services as ordered in the HHA POC for 5 of 5 patient records reviewed who have received HHA services for at least 2 weeks (Patient #6, 7, 11, 12 and 13).

The home health agency failed to ensure the RN supervised the HHA every 14 days for 2 of 2 active clinical records reviewed of patients receiving skilled services and HHA services (Patient #6 and 7).

The agency failed to ensure the Administrator was responsible for the day-to-day operations of the agency for 1 of 1 agency.

The Administrator failed to ensure a clinical manager was available during operating hours for 1 of 1 home health agency surveyed.

See Tag G940

See Tag G940

See Tag G940

See Tag G940

See Tag G940

The home health agency failed to ensure the accuracy of the correct attending physician for 2 of 11 records reviewed (Patient #5 and 11).

The home health agency failed to maintain an Emergency Preparedness Plan (EPP) training program which trained staff on the plan every 2 years and kept documentation of the training, which had the potential to affect all patients and employees.

The home health agency failed to ensure a discharge summary was sent to the receiving agency for 2 of 2 discharge records of patients transferred to another agency (#6, 7).

The home health agency failed to ensure all staff followed standard precautions and agency infection control policies and procedures related to hand hygiene and bag technique for 3 of 3 home visit observations (#1, 2, 3).

The home health agency failed to ensure the home health aide (HHA) care plan was detailed, patient specific, and followed the agency’s policy for 1 of 1 records of patients receiving HHA services (#3).

The home health agency failed to ensure the discharge summary included the patient’s progress towards their goals for 2 of 2 discharge records reviewed (#6, 7).

The home health agency failed to ensure the plan of care (POC) included the patient’s mental, psychosocial, and cognitive status; all supplies and equipment required; duration of visits to be made; activities permitted, all medications and treatments, all safety measures to protect against injury…

The home health agency failed to provide the patient with a written schedule of visits for 3 of 3 home visit observations (#1, 2, 3).

The home health agency failed to provide the patient with a written plan of care (POC) for 3 of 3 home visit observations (#1, 2, 3).

The home health agency failed to provide the clinical manager’s name and contact information in writing to patients for 3 of 3 home visit observations (#1, 2, 3).

The Registered Nurse (RN) failed to conduct a through and complete nursing assessment for 1 of 1 home visit observations of a skilled nurse visit (#1).

The home health agency failed to ensure the home health aide (HHA) completed tasks only according to the aide care plan for 1 of 1 active records of a patient receiving home health aide services (#3).

The Occupational Therapist failed to follow the agency's policy on health care bag technique to prevent the transmission of infections and communicable diseases during a home visit observation for 1 of 3 home observations.

The PT (Physical Therapist) failed to follow their policy and conducted supervisory visits for the PTA (Physical Therapy Assistant) for 2 of 5 patients ( Patient # 1 and 2) and the OT (Occupational Therapist) failed to provide supervisory visits with for the COTA (Certified Occupational Therapist…

The RN failed to perform supervisory visits every 14 days for 1 patient receiving skilled services (Patient # 3 ) in a sample of 3 patients with skilled services and HHA (home heath aide) services.