Hoosier Homecare Services LLC

The home health agency failed to ensure medications were reviewed as part of the comprehensive assessment for 2 of 7 patient records reviewed with a home observation visit (Patient #3 and #4).

The agency failed to ensure the plan of care (POC) included all medical equipment for 1 of 4 active records reviewed receiving physical therapy (PT) service with no home visit observation (Patient #11).

The skilled nurse failed to provide the patient with individualized education for 1 of 5 active records reviewed with no home visit observation (Patient #11).

The home health agency failed to ensure all patients were provided a plan of care for 2 of 2 home visit observations (Patients #13, 14) and failed to ensure patients receiving home health aide services received a home health aide care plan for 1 of 1 home visit observations of a patient receiving…

The home health agency failed to ensure the patient received all services as written in the plan of care (See G572); failed to evidence a single plan of care and failed to include all medications and treatments in the plan of care (See G574); failed to coordinate care to meet the patient's needs…

The home health agency failed to verify the patient was currently hospitalized prior to discharging the patient for hospitalization for 1 of 2 records reviewed of a patient discharged for hospitalization (Patient #6).

The home health agency failed to follow their own policy and failed to complete an initial assessment within 48 hours for 2 of 8 active patient records reviewed (Patient #3,10.) Findings include: 1. Undated policy C-140 titled “Patient Admission Process” indicated but not limited to “… Each patient…

The home health agency failed to ensure the patient received all treatments as written in the plan of care for 1 of 2 home visit observations of a Registered Nurse (RN) (Patient #8).

The home health agency failed to ensure all staff followed infection prevention and standard precaution policies and procedures for 4 of 7 home visit observations (Patient #3, 4, 5, 7).

The home health agency failed to follow their own policy and failed to ensure appropriate authentication of patient records for 2 of 8 active patient records reviewed (Patient #3,10.) Findings include: 1. A policy titled “Authentication Policy” indicated “… Authentication must include signatures…

The home health agency failed to follow their own policy and failed to include all medications on the medication list, failed to include frequency of medications, and failed to include indications for PRN (as needed) medications for 4 of 8 active patient records reviewed (Patient #1,5,8,10.)…

The home health agency failed to follow their own policy and failed to provide a single Plan of Care containing all medications and treatments for 5 of 8 active patient records reviewed (Patient #1,2,3,4,5.) Findings include: 1. Policy C-580 titled “Plan of Care” indicated “… The Plan of Care shall…

The agency failed to ensure coordination of care to meet the patient's needs for 2 of 8 active patient records reviewed (Patient #2 and 8).

The home health agency failed to ensure all patients were provided with the name of the Clinical Manager for 3 of 5 patients who had patient folders in the home during home visit observations (Patient #3,5,8.) Findings include: 1. An untitled document from the admission packet provided to the…

The home health aide (HHA) failed to perform all tasks ordered on the aide care plan for 1 of 1 home visit observations with a home health aide (Patient #1).

The agency failed to follow its own policy when identifying an insect infestation.

The agency failed to ensure that patient's received the home health services that were written in the Plan of Care for 2 of 17 records reviewed.

The agency failed to ensure staff was following acceptable standards of practice by actively documenting the absence of illness or signs/symptoms of COVID-19 and failing to screen all patients for COVID-19 prior to performing home visits for 1 of 1 agency reviewed.

The agency failed to ensure all clinical documents were properly authenticated for 1 of 5 closed records reviewed.

Based on record review and interview the Licensed Practical Nurse failed to provide an accurate skin assessment for 1 of 2 closed records with wounds reviewed.

The agency failed to provide all services as outlined in the plan of care and failed to perform complete accurate assessments as ordered in the plan of care for 3 of 17 patients reviewed.

The agency failed to notify in advance a discharge for cause was being considered for 2 of 5 closed records.

The agency failed to make efforts to resolve the problem(s) presented by the patient's behavior or situation for 1 of 17 records reviewed.

The agency failed to provide contact information for other agencies or providers who may be able to provide care for 1 of 5 closed records reviewed.

The agency failed to document efforts for resolving non-compliance for 2 of 2 patients discharged for non-compliance.

The agency failed to address changes in the patient's discharge plan and document the communication in the clinical record for 2 of 5 discharged clinical records reviewed.

The agency failed to integrate all orders in the plan of care and failed to assure coordination of care for all services required for 2 of 5 discharged patients reviewed.

The agency failed to coordinate care for 2 of 2 patients discharged for noncompliance.

The agency failed to ensure all staff followed infection control policies and standard precautions for 2 of 7 home visits observed (#5, 6).

The agency failed investigate all complaints received for 1 of 1 agency.

The agency failed to log the existence and resolution of a complaint for 1 of 1 agency.

The registered nurse (RN) failed to ensure complete medication profiles were accurately maintained for 2 of 17 records reviewed (#4, 5).

The agency failed to ensure that the plan of care contained all durable medical equipment (DME) for 3 of 7 home visits observed (#1, 3, 5).

The agency failed to ensure a vaccination policy was created and implemented for 1 of 1 patients receiving vaccinations (#18).

The Registered Nurse failed to ensure that the plan of care contained all durable medical equipment (DME) for 3 of 7 home visits observed (#1, 3, 5).

The Registered Nurse failed to ensure visiting nurses accurately identified and documented wounds for 1 of 2 wound care records reviewed (#5) and that wounds were measured weekly for 1 of 2 wound care records reviewed (#6) in a sample of 17 records reviewed.