Inspiration Home Health Care LLC

G430 - Based on record review, observation and interview, the agency failed to ensure the patients were free from neglect by not providing necessary services to prevent physical harm and mental anguish on 4 of 7 patients reviewed (Patients #1,#2,#3,#4).

G572- Based on record review, observation and interview the agency failed to follow the plan of care, specifically by not providing all services outlined in the plan of care for 3 of 7 patient records reviewed.

G658- The agency failed to conduct an adequate number or scope of distinct improvement projects annually, which should have reflected the complexity and past performance of its services and operations.

The agency failed to follow the plan of care, specifically by not providing all services outlined in the plan of care for 3 of 7 patient records reviewed.

The agency failed to comply with regulatory requirements regarding quality improvement projects.

The agency's governing body failed to assume authority and responsibility for the overall management, operations, and provision of home health services resulting in systemic failures in care coordination, oversight, and quality assurance for all patients.

The agency failed to implement an OASIS privacy notice to all patients for whom the OASIS data is collected for 7 of 7 patient records reviewed.

The agency failed to ensure that patients were free of neglect for 4 of 7 patients reviewed (Patients #1, #2, #3 and #4).

The agency failed to ensure the patient had received all services outlined in the plan of care on 4 of 7 patients reviewed (Patients #1, #2, #3 and #4).

The agency failed to administer drugs services and treatments only as ordered by a physician for 1 of 1 patient records reviewed who were receiving skilled nursing for insulin administration.

The agency failed to document verbal orders received in accordance with regulatory requirements in the patients clinical record for 1 of 1 patient records reviewed who were receiving skilled nursing for insulin administration.

The agency failed to ensure the individualized plan of care was reviewed and revised by the physician no less frequently than once every 60 days for 1 of 1 patient records reviewed who were receiving skilled nursing for insulin administration.

The agency failed to coordinate care delivery to meet the patients needs, or involve the patient as appropriate in the coordination of care activities for 1 of 1 patient records reviewed who were receiving skilled nursing for insulin administration.