Home Pro Care

The agency failed to ensure the initial assessment visit was completed within 48 hours of the referral or within 48 hours of the patient's return home in 1 of 7 (P-4) records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status at the time of admission to home care for 1 of 7 (P-6) records reviewed, resulting in incomplete clinical information to aide in determining the needs of the patient and for measuring…

The agency failed to ensure the comprehensive assessment included an accurate review of all medications to determine potential adverse effects or duplicate drug therapy in 7 of 7 (P-1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in the potential for harmful medication effects for all patients…

The agency failed to ensure the plan of care included appropriate interventions with objectively measurable goals specific to the individualized needs of the patient in 7 of 7 (P-1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in the potential for poor patient outcomes and unmet care needs.

The agency failed to ensure the clinical record contained completed assessments and visit notes for 1 of 7 (P-6) records reviewed, resulting in a lack of information for the physician and all agency staff caring for the patient.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 2 of 2 (P-1, 4) discharge records reviewed, resulting in a lack of information to ensure continuity of care.

The Agency failed to establish Vaccine protocol written policies and procedures that included (iii) implementation of additional precautions to mitigate the transmission and spread of Covid-19; (vii) a process for tracking/documenting information provided by staff who have requested/been granted an…

The Agency failed to establish Vaccine protocol written policies and procedures that included (iii) implementation of additional precautions to mitigate the transmission and spread of Covid-19; (vii) a process for tracking/documenting information provided by staff who have requested/been granted an…

The agency failed to ensure the plan of care covered all pertinent interventions, patient and family teaching and objectively measurable goals that addressed the patient's identified diagnoses and needs, for 1 (MR #1) of 2 records, from a total of 2 sampled records reviewed, resulting in the…

The home health agency failed to provide written information in the patients' own language, for all patients that speak a language other than English, for a potential of unexplained and misunderstood patient right information.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The home health agency failed to ensure the home health aide completed 12 hours of in-service training for years 2018 and 2019, for a potential of unprepared home health aides providing services to all patients receiving aide services.

The agency failed to ensure the written instructions for the home health aide included safety measures for 1 of 7 records reviewed (MR# 5) in which home health aide services were provided, from a total sample of 7 records, resulting in the potential for poor patient outcomes.

The home health agency failed to ensure the Clinical Laboratory Improvement Amendment certificate was kept current for a potential of the inability to meet the testing needs of all the patients requiring self-testing.

The Governing Body failed to assume the full legal authority and responsibility for the overall management and operation of the agency, the provision of all home health services, fiscal operations and review of the agency's budget and it's operational plans for the years of 2018 and 2019, resulting…

The home health agency failed to advise their patients of the names, addresses and telephone numbers of the federally and state funded entities that serve the area in which each patient resides, resulting in the potential for unmet patient care needs for all patients currently serviced by the…

The agency failed to ensure the Plan of Care was individualized and included objectively measurable goals in 3 of 7 records reviewed.

The physical therapist failed to provide the patient a copy of the prescribed exercise program to allow the patient to exercise on those days in which the physical therapist was not conducting home visits in 1 of 4 records (MR#7) reviewed in which the patient was receiving physical therapy services…

The agency failed to ensure that the Registered Nurse assessed the weight and edema of a patient diagnosed with Congestive Heart Failure for 1 (MR #6) of 1 patient ordered to have weights and edema checked every visit, as indicated in the plan of care, from a total of 7 sampled patients reviewed…

The Home Health Agency failed to ensure the Governing Body appointed the administrator's position, for a potential of lack in management for all the staff.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge and failed to contain all the required elements for 2 of 2 (MR#s 2 and 5) records reviewed in which the patient was discharged from the agency, resulting in the physician not…