Human Touch Home Health Care Agency Delta

The agency failed to have an emergency preparedness plan that included a facility-based and community-based risk assessment, utilizing an all-hazards approach.

The agency failed to maintain an emergency preparedness training and testing program based on a Centers for Medicare and Medicaid (CMS) standards based emergency preparedness plan, risk assessment, policies, procedures, and the communication plan, in accordance with Section 483.73(d).

The agency failed to ensure each beneficiary who received Medicare, a Medicare advantage plan, and/or Medicaid's Outcome and Assessment Information Set (OASIS) was electronically encoded and transmitted to the Centers for Medicare and Medicaid Services (CMS) in 1 of 1 discharged patient, who…

The agency failed to ensure a discharge summary was sent to the primary care practitioner within five business days of discharge and a transfer summary sent within two business days of becoming aware of a patient's transfer for 1 of 2 discharged patients records reviewed (Patients #7).

The agency failed to ensure the Registered Nurse (RN) or applicable rehabilitation skilled professional conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral, or on the physician ordered start of care (SOC) date, for 2 of…

The agency failed to ensure a comprehensive assessment that accurately reflected the patient's current health status had been updated and revised for 1 of 7 active patients reviewed (Patient #7).

The agency failed to ensure services and treatments were provided only as ordered by the physician for 1 of 2 active patients reviewed who were receiving intravenous (IV) fluids (Patient #6).

The agency failed to ensure clinical records contained accurate documentation of pertinent past and current findings in accordance with accepted professional standards for 5 of 10 patients' records reviewed (Patient #2, #4, #6, #7 and #8).

Further, the review revealed the agency failed to ensure completed discharge and transfer summaries were sent to the responsible primary care practitioner within the timelines set forth in regulation.

The agency failed to ensure services and treatments were provided in conformance with physician orders for 2 of 8 patients reviewed who received wound care (Patients #4 and #10).

The agency failed to show measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes and quality of care; and failed to include aspects of performance that enabled the agency to assess process of care and services.

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professionals prepared patient-specific written care instructions for the home health aide (HHA)/certified nurse aide (CNA) for 1 of 2 patient records reviewed where the patient was receiving CNA services (Patient…

The governing body failed to demonstrate it had adopted an overall plan and budget for the operation and administration of the agency.

The agency failed to ensure each patient's status was comprehensively assessed the last five days of every 60-day period for 1 of 1 pediatric patients who was on service more than 60 days (Patient #1).

The agency failed to ensure nursing professional services communicated with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current Plan of Care for 2 of 8 active patient records reviewed (Patients #4 and #6).

The agency failed to ensure certified nursing aides (CNAs) provided services as ordered by the physician, included in the plan of care, permitted to be performed under state law and were consistent with home health aide training for 1 of 2 patients reviewed receiving CNA services (Patient #1).

The agency failed to ensure certified nurse aide (CNA) supervision occurred at least every fourteen days for 1 of 1 pediatric patients reviewed receiving skilled care and CNA services (Patient #1).

The agency failed to ensure the registered nurse (RN) completed a supervisory visit to the patient's home at least every 60 days with the certified nurse aide (CNA) present to ensure the aide was properly caring for the patient for 1 of 1 pediatric patients reviewed (Patient #1).

The agency failed to ensure a qualified, pre-designated person was authorized in writing by the administrator and the governing body to assume the same responsibilities and obligations as the Administrator when the Administrator is not available.

The agency failed to ensure the clinical record contained a current comprehensive assessment for 1 of 1 pediatric patient records reviewed (Patient #1).

The agency failed to ensure all nursing interventions, treatments and services provided to patients were accurately and completely documented and included within the clinical record for 4 of 9 patient records reviewed receiving nursing services (Patients #5, #6, #8 and #10).

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner responsible for the provision of care and services following discharge from the agency within five business days of the patient's discharge for 3 of 3 discharged patients (Patients #5, #10 and #11)…