Home of My Own Home Health LLC

The agency failed to ensure the frequency of visits were met according to the POC (G0572) the plans of care were individualized to include all pertinent diagnoses, all equipment, all medications and treatments, and all safety measures and limitations (G0574), provide services under the order of a…

The agency failed to ensure the skilled professional provided services as ordered (G710), prepared clinical notes (G716), and provided services under the supervision of an RN (G726).

The agency failed to ensure the patient received the frequency of services as outlined in the POC for 3 of 4 active clinical records reviewed with patients receiving HHA services (Patient #2, 4, and 7).

The agency failed to ensure infection control practices were maintained during 3 of 4 home visits (Patient #4, 5, and 7) Findings Include: 4. During a home visit at Patient #5's residence on 06/29/2026 at 5:30 PM, LPN 1 was observed providing wound care to the patient's feet.

The agency failed to ensure they provided skilled services to at least seven active patient at the time of survey for 2 of 2 active clinical records reviewed (Patient #2 and Patient #8).

The agency failed to ensure clinical documents were authenticated with signature and date for 5 of 12 clinical records reviewed (Patient #2, 4, 5, 10, and 12).

The complaint failed to be documented in the agency's complaint log.

The agency failed to ensure they transferred a patient when they could no longer meet the patient's needs for 1 of 1 active clinical records reviewed with patients requesting more care (Patient #7).

The agency failed to ensure they responded to a referral within 48 hours for 4 of 8 active clinical records reviewed (Patient #1, 3, 4, and 5) and 2 of 4 inactive clinical records reviewed (Patient #10 and 12).

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 5 of 8 active clinical records reviewed (Patient #1, 4, 5, 6, and 7).

The agency failed to ensure the POC contained all of the elements including: seizure precautions, seizure plan, pertinent medical diagnoses, nutritional information, HHA interventions, medications, specific SN orders, DME, functional status, duration of services for 10 of 12 clinical records…

Tuesday, July 7, 2026 11:03 AM Based on observation, record review, and interview, the agency failed to provide services as ordered by the physician for 7 of 12 active clinical records reviewed (Patient #2, 4, 6, 9, 10, 11, and 12).

The agency failed to ensure the physician was notified of vital signs outside of ordered parameters for 6 of 8 active clinical records reviewed (Patient #1, 3, 4, 5, 6, and 7 ).

Friday, July 10, 2026 8:40 AM Based on record review and interview, the agency failed to coordinate care with other entities providing services for 2 of 2 active clinical records reviewed with patients residing in a group home (Patient #4 and 5).

The agency failed to ensure the SN provided services as ordered by physician for 5 of 8 active clinical records reviewed (Patient #2, 4, 5, 6, and 7).

The agency failed to ensure the skilled professional completed accurate clinical notes for 4 of 6 active clinical records reviewed with patients receiving SN (Patient #1, 4, 5, and 7).

The agency failed to ensure nursing services were provided under the supervision of a RN for 9 of 12 clinical records reviewed (Patient #1, 3, 4, 5, 6, 7, 9, 10, and 12) Findings Include: 7. A review of Patient #1's active clinical record evidenced a POC with a SOC of 11/03/2025 and a…

The agency failed to ensure a skills competency was completed for all HHAs prior to their first patient contact for 2 of 2 HHA personnel records reviewed.

The agency failed to ensure the HHA performed tasks within their scope of practice and permitted by their training for 2 of 4 active records reviewed with patients receiving HHA services (Patient #2 and 7).

The agency failed to ensure RN supervisory visits were completed for 3 of 4 active records reviewed with patients receiving SN and HHA services (Patient # 2, 4, 7).

The agency failed to ensure the supervisory visit accurately reflected whether the HHA followed the POC for 1 of 1 active clinical record reviewed with a patient receiving HHA services and no SN services.

The agency failed to ensure the Administrator maintained day to day operations due to the Administrator working outside of their scope of practice for 1 of 1 Administrators.

The agency failed to ensure the DON was available during all operating hours for 1 of 1 DON.

The agency failed to ensure the SN followed current clinical practice guidelines for 2 of 4 active clinical records reviewed with home visits (Patient #4 and 5).

The agency failed to ensure the content of the patient's clinical record were kept confidential and in the patient's clinical records for 3 of 3 days when QAPI was reviewed.

The agency failed to ensure the transfer or discharge summary contained all of the necessary elements for 4 of 7 clinical records reviewed with patients transferred or discharged (Patient #4, 5, 10, 12, ).