Icare Home Health Agency LLC

The agency failed to complete an updated and revised comprehensive assessment as the patients condition warranted for an improvement in health status in 1 of 1 discharged patients reviewed who received skilled nursing (SN), physical therapy (PT) and occupational therapy (OT) services (Patient #3).

The agency failed to provide emergency preparedness training to staff at least annually.

The facility failed to conduct exercises to test the emergency plan annually for emergent issues which would potentially impact patient's of the agency.

The agency failed to electronically transmit current and accurate data regarding each beneficiary with respect to which information was required to be transmitted within 30 days of completing the assessment of the beneficiary for 45 patients who received an assessment from 4/1/23 through 4/30/24.…

The agency failed to ensure an initial assessment was provided within 48 hours of referral by a physician for 1 of 8 active patients reviewed who received physical therapy (PT) (Patient #7).

The agency failed to ensure an accurate comprehensive assessment was completed in 1 of 3 patients reviewed who had their comprehensive assessments completed by a therapist (Patient #3).

The agency failed to ensure drugs, services and treatments were administered only as ordered by a physician or allowed practitioner for 4 of 9 active patient records reviewed (Patients #3, #4, #5, and #8).

The agency failed to ensure verbal orders were documented in the patient's record by the skilled nurse (SN) who received the order for 2 of 9 active patients records reviewed (Patients #4 and #7).

The agency failed to ensure the home health aide (HHA)/certified nursing assistant (CNA) provided services as ordered by the physician, included in the plan of care and permitted under State Law for 1 of 4 active patient records reviewed receiving HHA services (Patient #1).

Specifically, Patient #1 was accepted for services to include skilled nursing needs, which included lab draws, surgical wound assessment, being provided with supplies to meet his clinical needs and coordination of care with the physician, however the agency failed to start services timely resulting…

However, review of the comprehensive assessment completed by the agency registered nurse (RN) #6 on 4/20/22 revealed the patient had diagnoses that included a puncture wound to the abdomen, open wound, infection, pain, and post-surgical complications. a) The agency failed to ensure they made an…

However, review of the comprehensive assessment completed by the agency registered nurse (RN) #6 on 4/20/22 revealed the patient had diagnoses that included a puncture wound to the abdomen, open wound, infection, pain, and post-surgical complications. a) The agency failed to ensure they made an…

The agency failed to ensure a comprehensive assessment was completed during the last 5 days of the 60 day certification period for 2 of 6 patients admitted to the agency reviewed (Patients #7 and #8).

The agency failed to ensure drugs, services and treatments were administered as ordered by a physician for 2 of 6 patients admitted to the agency reviewed (#6 and #8).

The agency failed to assure communication with all physicians involved in the plan of care for 2 of 7 who were accepted for services but not admitted to the agency (Patients #1 and #12).

The agency failed to involve the patient, representative and caregiver in the coordination of care activities in order to meet the needs of the patient for 1 of 7 patients who were accepted for services but not admitted to the agency (Patient #1).

G580- Based on interview and record review, the agency failed to provide services and treatments only as ordered by the physician for 6 of 10 patients reviewed who received physical, occupational and skilled nursing services.

The agency failed to ensure a comprehensive assessment that accurately reflected the patient's current health status had been updated and revised for 6 of 10 patients reviewed (Patient #2, #3, #4, #5, #6 and #7).

The agency failed to ensure services were provided in accordance with physician's orders for 1 of 1 patients reviewed with a physician approved plan of care.

The agency failed to record all patient care orders in the plans of care for 1 of 1 patient with a Wound V.A.C.

The agency failed to provide services and treatments only as ordered by the physician for 6 of 10 patients reviewed (Patients #2, #3, #4, #6, #7 and #8).

The agency failed to ensure communication with all physicians involved in the plan of care in 7 of 10 patient records reviewed (Patients #2, #3, #4, #5, #6, #7 and #8).

The agency failed to ensure coordination in care delivery met the patients’ needs and involved the patient and caregivers as appropriate in 7 of 10 patient records reviewed (Patients #2, #3, #4, #5, #6, #7 and #8).