Hope at Home Health Care

The Agency failed to include objectively measurable goals to determine the patient's progress towards achieving the goals in 16 of (MR#s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16 and 17) of 17 records reviewed (G574); failed to provide services as ordered in the Plan of Care in 1 (MR#2) of…

Findings include: On 4/28/23 at 2:15 pm, the Administrator (Staff A) was queried about annual staff emergency preparedness drills and tabletop exercises and stated, "We have not done the annual drills.” The Agency failed to document the needed exercises designed for the preparation of emergency…

The agency failed to include required information and notifications upon transfer to the hospital in 1 of 2 records (MR#1) reviewed in which the patient was transferred to the hospital, resulting in incomplete information being provided for the receiving facility's' information.

The skilled nurse failed to provide services as ordered in the Plan of Care in 1 (MR#2) of 16 records in which Skilled Nursing provided services.

The Agency failed to ensure the personnel followed accepted Infection Control standards of practice during the provision of care and services for 1 of 6 patients (MR #13) observed home visits, from a total of 17 sampled records reviewed, resulting in the potential for the transmission and…

The Agency failed to ensure the Registered Nurse (RN) prepared complete written instructions for patient safety needs in 2 of 9 records in which aide services were provided, from a total of 17 records reviewed, (MR's 15, and 16) resulting in the potential for unsafe, substandard care and unmet care…

The agency failed to ensure that 2 (MR's# 11 and 15) of 17 patients were included in their overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided and disciplines that will furnish care, resulting in a lack of inclusion in…

The agency failed to inform the patient/caregiver before care was initiated of the extent to which payment for home health agency services may be expected from Medicare or other insurance sources and the extent to which payment may be required from the patient in 9 of 17 sampled records reviewed…

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, and baseline data for 13 of 17 records (MR#s 1, 3, 4, 5, 6,10…

The agency failed to ensure the registered nurse reviewed patient medications for possible side effects and possible drug interactions for 1 of 1 (MR# 11) Physical Therapy records reviewed.

The agency failed to ensure the Start of Care Assessment was completed within 48 hours of the patient's referral for home care services in 1 of 17 (MR#3) records reviewed, resulting in care not provided in a timely manner.

The Plan of Care failed to include objectively measurable goals to determine the patient's progress towards achieving the goals in 16 of 17 records (MR#s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16 and 17).

The Agency had failed to promptly notify the Physician concerning significant weight gain and increased lower leg edema for 1 (MR #7) of 4 patients with congestive heart failure, resulting in a poor clinical outcome.

The physical therapists failed to provide a written exercise program and instructions for the patient to use between scheduled Physical Therapy visits in 1 of 2 records MR#7 in which Physical Therapy (PT) was assigned and provided a joint surveyor home visit in the patient's home resulting in…

The agency failed to provide services as ordered on the Plan of Care in 1 of 17 records reviewed (MR#7) that ordered Occupational Therapy Services, resulting in the patient not receiving ordered services needed by the patient to assist in improving the patient's safety and health condition.

The agency failed to ensure clinical notes were accurate for 3 of 17 (MR# 12, 13 and 16) records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The Agency failed to ensure a transfer or discharge summary was completed, provided the patient's current health status at the time of transfer or discharge; progress toward goals; and Transfer Summary is sent to the receiving agency and physician within 2 days; and Discharge Summary sent to the…

The Agency failed to ensure staff provided care and services in a manner of dignity and respect for 1 (MR #1) 1 patient exposed to inappropriate language during a home visit, from a total of 3 sampled records reviewed, resulting in the discontinuation of needed services and the potential for…