Hospice & Home Care of Juneau

The home health agency failed to complete an initial assessment within 48 hours of the referral, or within 48 hours of the patient's return home from an inpatient stay, or on a physician ordered start of care date for five of nine patients (Patient #1, Patient #3, Patient #4, Patient #5, and…

The agency failed to ensure strategies for addressing events identified by the Hazardous Vulnerability Analysis were established.

The agency failed to ensure written policies and/or procedures were established to ensure: 1) the preservation of patient information; 2) protection and confidentiality of medical records; and 3) security and maintain record availability.

The agency failed to ensure the emergency preparedness communication plan contained: 1) a method for sharing information and medical documentation for residents under the agencies care with other health providers in the event of an emergency, to release patient information as permitted under the…

The agency failed to ensure the emergency preparedness plan included a description of services offered by the home health agency during an emergency event.

The agency failed to provide home health services as outlined in the plan of care for 1 patient (#2) out of 7 patients reviewed.

The agency failed to conduct an infection control program that included the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that was an integral part of the home health agency's quality assessment and performance improvement (QAPI)…

The agency failed to provide the name and contact information of the home health agency's Administrator to 7 patients (#s 1-7) out of 7 records reviewed.

The facility failed to ensure the OASIS (Outcome and Assessment Information Set, a federally required assessment) privacy notice information was given to 4 patients (#s 1, 2, 4 and 6) out of 7 records reviewed.

The agency failed to ensure the initial assessment visit was held within 48 hours of referral, or within 48 hours of the patient's return home, for 3 patients (#'s 2, 3 and 5) out of 7 reviewed.

The agency failed to review and update all the medications for 1 patient (#4) out of 7 reviewed for medications.

The agency failed to provide the name and contact information of the home health agency's Clinical Manager (CM) to 7 patients (#s 1-7) out of 7 reviewed.