Human Touch Home Health Care, PLLC
Inspection 2018-06-21
· Recertification · 28 deficiencies · CMS source report (PDF)The Agency (HHA) failed to develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually (E0004); failed to include a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an…
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The Home Health Agency (HHA) failed to develop a Quality Assessment Performance Improvement (QAPI) policy and program that developed indicators that measured, analyzed and tracked it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the…
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The Agency failed to develop and maintain an emergency preparedness program that included the required elements, that must be reviewed, and updated at least annually, resulting in the potential for the Agency's inability to provide safe patient care in the event of an actual emergency.
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The Agency (HHA) failed to include a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document the it's efforts in contacting these officials to engage…
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The Agency failed to implement in the Emergency Preparedness policy the use of volunteers and other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency, resulting in the…
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The Agency (HHA failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws that included the following required subject areas (1) Names and contact information for the following: (i) Staff, (ii) Entities providing services under…
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The Agency failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, including contract employees and volunteers, and failed to maintain documentation of training's, resulting in the potential for inappropriate, unprepared responses to…
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The Agency (HHA) failed to provide documentation for the required annual tabletop and community based full-scale exercises nor any documentation of an actual event that would qualify as a test of the emergency plan since its initiation in 2009, resulting in the potential to affect all patients and…
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The Home Health Agency (HHA) failed to develop a Quality Assessment Performance Improvement (QAPI) policy and program that developed indicators that measured, analyzed and tracked it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the…
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The Home Health Agency (HHA) failed to develop a QAPI (Quality Assessment Performance Improvement) program that collects and monitors data to assess the effectiveness and safety of services resulting in the agency's inability to improve in patient care, health outcomes, patient safety, quality of…
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The Home Health Agency (HHA) failed to develop a QAPI Quality Assessment Performance Improvement (QAPI) program that document the quality improvement projects, the reasons for conducting these projects and the measurable progress achieved on these projects for 2017 and 2018 resulting in the…
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The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all of the regulatory requirements of this section, that address priorities for improved quality of care and patient safety and was evaluated for…
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The Home Health Agency (HHA) failed to maintain an active infection control program for 2016, 2017 and 2018, for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the HHA's Quality Assessment Performance Improvement (QAPI)…
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The agency (HHA) failed to ensure that the individuals who furnished Home Health Aide (HHa) services on its behalf met the competency evaluation requirements of this section by ensuring the required skills were evaluated by a Registered Nurse (RN), who observed the Aide's performance of the tasks…
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The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient care instructions that included safety precautions, in 2 of 2 Home Health Aide (HHa) records in which aide services were provided, from a total of 7 records reviewed, (MR's #5, 6) resulting in the inability…
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The agency (HHA) failed to ensure that clinical records were safeguarded against loss or unauthorized use, resulting in the potential for compromise of protected health information for all patients serviced by the agency.
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The Agency (HHA) failed to ensure the patient received written notice of patient's rights and responsibilities regarding transfer and discharge policies, in advance of furnishing care.
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The Agency (HHA) failed to include contact information for the Home Health Agency's Administrator in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns or complaints.
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The Agency (HHA) failed to inform the patient, in advance of the disciplines that will furnish care, and the proposed visit frequency in 3 records from total of 7 sampled records reviewed (MR's #3, 5, and 6), resulting in the patients not having knowledge of the plan for treatment.
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The Agency (HHA) failed to advise the patients of the names, addresses and telephone numbers of Federally-funded and State-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient need care needs.
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The agency (HHA) failed to ensure the plan of care covered all pertinent treatments, and interventions with reportable parameters and measurable goals for 2 records, from a total of 7 records reviewed (MR's #6, 5), resulting in patients' not receiving care specific to their individual needs.
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The Agency (HHA) failed to include contact information for the Home Health Agency's Clinical Manager in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.
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The Home Health Agency (HHA) failed to develop a QAPI (Quality Assessment Performance Improvement) program that focused on high risk, high volume or problem-prone areas of the agency, to monitor the agency's improvement in these areas resulting in the agency's inability to improve in patient care…
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The agency (HHA) failed to ensure that skilled nursing (SN), Physical Therapy (PT) and Occupational Therapy (OT) services were administered in accordance with the physician's orders and the plan of care (POC) in 3 of 7 records reviewed (MR's #2, 7, and 5) resulting in the potential for decline in…
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The Home Health Agency (HHA) failed to notify the state survey agency, the Department of Licensing and Regulatory Affairs (LARA), of the names and addresses of the current owner, Administrator and the Director of Nursing of the HHA, per regulatory requirements as stated in §420.20l, §420.202, and…
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The Home Health Agency (HHA) failed to ensure the administrator was appointed by and reports to the governing body.
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The Agency (HHA) failed to ensure the clinical record contained interventions and responses to treatments in 4 records where the patent required blood work drawn and monitoring of laboratory (Lab) values (M.R. #1, 2, 3, and 6) and 1 record with a diagnosis of congestive heart failure (M.R. #5)…
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The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician in 6 of 7 closed discharged records, from a total of 7 records reviewed (MR's #1, 2, 3, 4, 5, 6)…
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