Integrated Home Care, Inc
Inspection 2018-11-15
· Recertification · 7 deficiencies · CMS source report (PDF)The agency failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, regional, local emergency preparedness staff and other sources of assistance.
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The agency failed to conduct exercises to annually test the emergency plan; failed to conduct an additional exercise; and failed to analyze the agency's response to and maintain documentation of all drills, tabletop exercises, emergency events and revise the agency's emergency plan as needed.
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The agency failed to ensure that speech therapy (ST) performed an initial evaluation during the agency's expected timeframe (within 5 days of the start of care) for 2 of 7 records reviewed (MR's # 1, 2) for therapy services from a total sample of 7 records, resulting in the potential for unmet 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 failed to ensure the plan of care included measurable goals and outcomes in 4 of 5 records reviewed (MR#s 6, 7, 3 and 4) in which nursing services were provided, resulting in the potential for unmet goals and outcomes identified by the patient and nurse at the start of care.
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The agency failed to ensure the clinical record included all clinical notes for 2 of 7 records reviewed (MR#3 and 7), resulting in an incomplete clinical record.
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The agency failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge and progress toward goals in 1 (MR #1) of 2 discharged records from a total of 7 records reviewed, resulting in the potential for unidentified continuing health care…
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