Intercare Home Health Services Inc

The Home Health Agency Staff B RN failed to be in accordance with current clinical practice to prevent a needle stick, by not using the scoop method on a counter surface to prevent a needle stick after giving an insulin injection with a pen needle.

The home health agency is unable to demonstrate a completed termination summary including the reason for admission to Home Health Care and the specific type of services, the frequency and duration of services at discharge for 2 out of 5 Sampled Patients (SP).

The Home Health Agency failed to demonstrate that an annual training on emergency preparedness was provided on 5 out of 10 Staff.

Findings include: Record review of SP # 9 Service Authorization created on 3/9/3022 showed she is authorized for services type of homemaker/ companion care; start date 3/9/2022, end date 12/31/2022. Record review of the Home Health Aide Weekly record home visits showed CNA (Certified Nursing…

The Home Health Agency failed to provide infection control education to 5 out of 10 Staff.

The Home Health Agency failed to indicate what route should all the patient's medications identified be given on 1 out of 10 sample patients.

The Home Health Agency failed to include as part of their comprehensive assessment, the route of all the identified medications for which the patient must take his or her medications on 1 out of 10 sample patients.

The provider failed to ensure that all new staff participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles for 3 out 10 personnel record.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 3 out of 5 employee record review.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the agency's care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff; and failed to demonstrate staff knowledge of emergency procedures.

The provider failed to demonstrate it analyzed the agency's response to and maintain documentation of all drills, tabletop exercises, and emergency events, and revise the agency's emergency plan, as needed.

The home health agency staff failed to provide nursing service within the scope of practice for 1 out of 3 Sampled Patients (SP) with home visits done.

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis.

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (i) Agency on Aging, (ii) Center for Independent Living, (iii) Protection and Advocacy Agency, (iv) Aging and…

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits.

The provider failed to provide the name and contact information of the Home Health Agency clinical manager for 5 out of 5 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, for patients who are not receiving skilled care service in 4 out of 7 Sample Patients (SP).