Honorcare Home Health Inc
Inspection 2022-12-08
· Recertification · 8 deficiencies · CMS source report (PDF)The agency failed to have a written emergency preparedness and response plan based on a risk assessment that thoroughly described its approach to dealing with a disaster that could or did affect its services, in that: the risk assessment did not include a pandemic (worldwide infection).
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The agency failed to include in their EPRP a procedure that the agency must inform state and local officials of any on-duty staff or patients that they are unable to contact.
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The agency failed to electronically transmit completed OASIS assessment data to the CMS system within 30 days of completing the assessment for one of one discharged patient (Patient #3) whose records were reviewed in that, there was no transfer OASIS sent to CMS after the client transferred on…
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The agency failed to enforce written policies to control infections and communicable diseases that included requirements to document infections that the patient acquired while receiving services from the agency in that there was no documented evidence of a primary diagnosis, patient’s signs and…
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The agency failed to comply with applicable federal and state requirements for licensing in that: 1. The agency did not report a change in its physical location to CMS, and 2. The agency did not display a current THHSC license (last one issued on 10/3/22).
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The agency failed to maintain an accurate patient record for two of four discharged patients (Patients #1 and #2), whose records were reviewed, in that: 1. The Triage Code (for emergency disaster preparedness code) for Patient #1 was inaccurate on the POC.
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The agency failed to enforce a written policy that addressed the time frame for the physician’s countersignature for two of four discharged patients (Patients #1 and #2) whose records reviewed, in that the initial orders and POC were not signed by the physician.
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The agency failed to enforce a contract between it and an independent contractor that performed services of the agency for one of two therapy contracts (Contract #1) whose contracts were reviewed, in that the contract did not designate that the HHA would maintain overall responsibility and include…
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