Home Sweet Home Ace Care LLC

The agency failed to ensure OASIS assessments were completed upon a patient's transfer to a hospital.

The agency failed to develop a plan of care for the necessary services for one (Patient #1) of three patients reviewed for plan of care.

The agency failed to ensure the home health aide (HHA) had a plan of care written by the registered nurse (RN) to follow when providing services.

The agency failed to ensure the patient was provided written notification of being discharged from services.

The agency failed to ensure a medication profile was completed for each patient.

The agency failed to ensure there were physician orders for the services provided.

The agency failed to ensure a discharge summary was completed and sent to the physician at discharge.

The agency failed to provide skilled nurse visits or home health aide services per the plan of care and failed notify the physician of missed skilled nursing and home health aide visits for four (Patients #2, Patient #3, Patient #4, and Patient #8) in a sample of ten patients.

The agency failed to ensure home health aides completed 12 hours of annual in service education for three (Staff C, Staff D, and Staff G) of five personnel files reviewed for compliance.

The agency failed to ensure the skilled nurse (SN) provided the services as indicated in the plan of care for one (Patient #3) of one patient reviewed for skilled services in a sample of ten patients.

The agency failed to evaluate one staff member (Staff G) of five staff reviewed for competency.

The agency failed to ensure home health aides followed the plan of care.

The agency failed to conduct home health aide supervisory visits while the aide was on duty and performing care.

The agency failed to develop a policy and procedure that addressed the use of employees in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of COVID 19. This could potentially affect all patients receiving services from the agency.

The agency failed to educate staff, patients and family members regarding transmission of infectious diseases and specifically mitigating transmission of COVID-19. This could potentially affect all patients receiving services from the agency.

The agency failed to ensure documentation of the existence of complaints and the resolution of the complaints.