Honest Home Care, Inc

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status, past medical history, history of events leading to home care, baseline data for future assessments, and ascertained the patient's immediate care needs in 2…

The agency failed to ensure the plan of care (POC) met the needs of the patient in 3 (P-2, P-3, and P-7) of 7 records, out of a total sample of 7 records reviewed, resulting in the potential for negative patient outcomes for all 14 patients currently receiving services.

The agency failed to ensure services were provided only as ordered by the physician in 1 (P-3) of 7 total records reviewed, resulting in the potential to negatively affect all 14 patients currently serviced by the agency.

The agency failed to ensure the physician was notified of changes in the patient's condition in 1 (P-7) of 7 records reviewed from a total sample of 7 records, resulting in the potential for poor clinical outcomes for all 14 patients currently receiving services.

The agency failed to provide documentation that a discharge summary had been sent to the physician for review as required in 3 (P-2, P-3, and P-6) of 3 discharge records, out of a total sample of 7 records reviewed, resulting in the potential for unmet post-discharge needs.

The agency failed to include all necessary treatments in the plan of care for 2 of 7 records reviewed (MR# 5, 7) (G574); failed to ensure the skilled nurse documented the patient's treatments and medication as ordered by the physician for 2 of 2 (MR# 6, 7) records reviewed in which the treatment…

The agency failed to develop, implement, and maintain a quality assessment and performance improvement program (Refer to G 0642), failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment…

The agency failed to ensure the home health aide (HHA competency evaluation addressed each of the listed subject subject (Refer to G768), the agency failed to ensure the registered nurse included safety measures in the patient care instructions for the home health aide (Refer to G798), the agency…

The agency failed to ensure initial training in emergency preparedness policies and procedures was provided to all employees.

The agency failed to ensure the skilled nurse documented the patient's treatments and medication as ordered by the physician for 2 of 2 (MR# 6, 7) records reviewed in which the treatment was not provided as ordered and failed to provide MSW (master of social work) services in 1 of 1 (MR# 6) records…

The home health agency failed to ensure the patient's care plan were kept current and revised, as needed, for 1 of 1 records reviewed (MR# 6) resulting in missed visits without physician orders and a potential for poor patient outcomes.

The agency failed to develop, implement, and maintain a quality assessment and performance improvement program which had the potential to negatively affect all 155 patients that were admitted during the past 12 months, resulting in a potential for poor patient outcomes due to the provision of…

The agency failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment and performance improvement program, which had the potential to negatively affect all patients serviced by the agency…

The agency failed to document the quality improvement projects for 2018, 2019 and 2020 and document the reasons for conducting these projects and the measurable progress achieved each year, which had the potential to negatively affect all patients serviced by the agency, resulting in a potential…

The agency failed to ensure the home health aide (HHA competency evaluation addressed each of the listed subject areas (Aide-A) from a total sample of 1 home health aide personnel file reviewed, resulting in the potential of substandard aide services that could negatively affect all patients…

The agency failed to ensure the registered nurse included safety measures in the patient care instructions for the home health aide in 2 of 3 (MR# 3 and 7) records reviewed in which the patient received home health aide services, resulting in the potential for the provision of unsafe care for this…

The agency failed to ensure the comprehensive assessment included a review of all medications to identify any potential adverse effects, drug reactions, or interactions for 5 of 7 (MR# 3, 4, 5, 6, 7) records reviewed, resulting in the potential for harmful medication effects for these patients.

The agency failed to include all necessary treatments in the plan of care for 2 of 7 records reviewed (MR# 5, 7), resulting in the potential for patient decline.

The agency failed to ensure services were provided only as ordered by the physician in 1 of 7 (MR# 6) records reviewed, resulting in the potential to negatively affect this patient.

The agency failed to ensure the aide provided services as ordered by the physician and at the frequency ordered on the plan of care for 1 of 3 (MR#3) record reviewed in which aide services were ordered, resulting in the potential for unmet personal care needs for this patient and potentially…

The agency failed to ensure on-site supervisory visits to the patient's home were made at least every 14-days to supervise the care provided by the home health aide for 2 of 3 (MR#3 and 7) record reviewed in which aide services were provided for a period of time greater than 2 weeks, resulting in a…

The registered nurse failed to make an annual on-site supervisory visit to the location where the patient was receiving care along with the home health aide (Aide-A), to observe and assess the aide while performing care for 1 of 1 home health aide providing care, for a potential of an aide…

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge for 3 of 4 (MR# 3, 6 and 7) records reviewed in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's health…

The agency failed to ensure that the comprehensive assessment summary contained a summary that accurately reflected the patient's specific home care needs, goals and summary in 2 of 7 (MR 1, and 3) records reviewed, which resulted in the comprehensive assessment not having a complete patient…