Home Health by John Knox Village

The home health provider failed to ensure staff performed a complete medication review in one of five full records reviewed (Record/Patient #1).

The provider failed to develop a complete/individualized plan of care (POC), in two of five full records reviewed (Records/Patients #1 and #2).

The home health provider failed to ensure the ongoing interdisciplinary assessment of the patient, in one of five full records reviewed (Record/Patient #3).

The home health provider failed to meet the requirements for the Condition of Participation: Care planning, coordination of services, and quality of care when the provider failed to ensure: - Each patient must receive an individualized written plan of care including, but not limited to, all…

The home health provider failed to ensure that each patient's written individualized plan of care (POC) included all required elements in two of four records reviewed (Records/Patients #2 and #4).

The home health provider failed to ensure services and treatments were administered only as ordered by a physician in one of four records reviewed (Record/Patient #2).

The home health provider failed to promptly alert the physician to changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care (POC) should be altered, in one of four records reviewed (Record/Patient #2).

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to meet the requirements for the Condition of Participation: Comprehensive assessment of patients, when the agency failed to ensure: - The initial assessment visit must be held within 48 hours of referral or within 48 hours of the patient’s return home, or on the physician or…

The agency failed to meet the requirements for the Condition of Participation: Care planning, coordination of services, and quality of care when the agency failed to ensure: - Each patient must receive an individualized written plan of care including, but not limited to, all medications and…

The agency failed to assure all clinical record entries were complete in, but not limited to one (Record/Patient #5) of five full records reviewed.

The agency failed to include the written notice of the patient rights, that include the patient’s right to have a copy of the patient’s rights and responsibilities, and the agency’s transfer and discharge policies provided to a patient-selected representative within four business days of the…

The agency failed to assure that the patients be advised, orally and in writing, of the extent to which payment for HHA (home health agency) services may be expected.

The agency failed to ensure an initial assessment visit was conducted to determine the immediate care and support needs of the patient within 48 hours of referral in two (Records/Patients #2 and #3) of 5 full records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s current health status in two (Records/Patients #2, and #4) of five full records reviewed.

The agency failed to perform a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements in two (Records/Patients #2 and #5) of five full records reviewed.

The agency failed to ensure that all patient care orders were included in the plan of care in two (Records/Patients #2 and #4) of five full records reviewed.

The agency failed to ensure services and treatments were administered only as ordered by a physician in two (Records/Patients #2 and #5) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care (POC) should be altered, in two (Records/Patients #2 and #5) of five full records reviewed.

The agency failed to integrate orders from all physicians involved, to assure coordination of all services and interventions provided to the patient in two (Records/Patients #2 and #4) of five records reviewed.

The agency failed to integrate services, to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines in one (Record/Patient #2) of five records reviewed.

The agency failed to provide patient's with written information for visit schedules, including frequency of visits by HHA (home health agency) personnel in three (Records/Patients #1, #2, and #4) of five full records reviewed.

The agency failed to ensure the skilled professionals were providing ongoing interdisciplinary assessment of the patient in three (Records/Patients #2, #4, and #5) of five records reviewed.

The agency failed to ensure the skilled professionals were providing services ordered by the physician in two (Records/Patients #1 and #4) of five records reviewed.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following, the date of this survey.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights regarding contact information for the home health agency administrator, to receive complaints.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights regarding any changes in the care to be furnished, and frequency of visits.

The agency failed to ensure the comprehensive assessment for the start of care accurately reflected the patient's status and included the patient's current health in one but not limited to one (Record/Patient #5) of seven records reviewed.

The agency failed to ensure that the registered nurse (RN) performed an accurate and complete review/ update of all medications the patient was currently using in three (Records/Patients #1, #2, and #3) of seven records reviewed.

The agency failed to develop a complete/ accurate plan of care (POC) and follow the POC in, two (Records/Patients #2, #3) of seven records reviewed.

The agency failed to ensure coordination of patient care delivery in one (Record/Patient #5) of seven patients reviewed.

The agency failed to provide in writing the name and contact information of the clinical manager in three (Records/Patients #1, # 2 and #3) of three home visit observations.

The agency failed to follow agency policy and procedures for infection control in, but not limited to, two (Records/Patients #1 and #2) of three home visit observations.

The agency failed to provide/send a complete discharge summary to the responsible physician of the patient's discharge in one (Record/Patient #7) of one applicable discharge record reviewed.