Imperium Healthcare Inc.

The HHA (Home Health Agency) failed to: Ensure that care planning and coordination of services was implemented, the plan of care was signed by the physician, and all aspects of the Plan of Care that are required to be included were included.

The Home Health Agency (HHA) failed to: provide a written agreement for skilled nursing services, failed to ensure that skilled nursing services were furnished, and failed to ensure that the plan of care was implemented and ongoing assessments were made for three of five patients reviewed.

The agency failed to ensure that the plan of care was periodically reviewed and signed by a doctor of medicine, osteopathy or podiatry for two of five patients reviewed ( # 1, # 2).

The facility failed to ensure the implementation of an adequate Quality Assessment and Performance Improvement Plan for the home health care and services provided to 83 of 83 clients.

The facility failed to provide at least one skilled discipline through direct employment by the home health agency, Findings included: A review of the facility's policy, "Services Under Contract," copyright 2017, stated under "Policy: A written contract or agreement shall be required for personnel…

The agency failed to have an individualized plan of care that included all required items for one of five patients reviewed (#1).

The agency failed to record all patient care orders in the plan of care for two of five patients reviewed (#1, #5) Findings Included : 1. Review of the record for Patient #1 revealed that he was admitted to the agency on 11/30/17 for skilled nursing services and discharged on 2/1/18, Review of a…

The agency failed to document wound measurements at the start of care and subsequent skilled nursing visits for one of five patients reviewed (#5).

The agency failed to ensure the skilled nurse prepared clinical notes for each skilled nursing visit for two of five patients reviewed (#2, #5).

The facility failed to ensure the implementation of the care plan for three (Patients #1, #2, and #5) of five patients sampled.

The facility failed to provide the required contract or agreement for skilled nursing services for 22 of 22 licensed nurses that provide direct patient care.