Interim Healthcare of Delaware LLC

The agency failed to ensure two Patients, (P)1 and P3, out of a total of 10 patients in the sample had individualized emergency/disaster plans in place to direct care and services in the event of a natural or man-made disaster.

The Home Health Agency (HHA) failed to ensure the timely submission of Outcome and Assessment Information Set (OASIS) to the Internet Quality and Improvement and Evaluation System (IQIES).

The Home Health Agency (HHA) failed to ensure that infection control procedures were appropriately followed for one Patient (P2) out of a total of 10 patients reviewed in the sample.

The Home Health Agency (HHA) EMP2 failed to ensure physician’s orders were followed for one Patient (P2) out of a total of 10 patients reviewed in the sample.

For 98 of 98 current patients, the agency failed to have policies/procedures that includes individual plans for each patient that is included as part of the comprehensive patient assessment.

For 2 of 3 patients (Patient #'s 4 and 5) observed during a home visit, the agency staff failed to adhere to accepted standards of practice regarding infection prevention and hand hygiene.

For 1 of 4 patients (Patient #7) in the sample receiving PT (physical therapy) services, the agency failed to provide services as ordered by the physician in the plan of care.

For 2 of 2 patients (Patient #'s 3 and 6) observed during skilled home visits, the agency staff failed to adhere to professional standards of practice regarding hand hygiene.

The home health agency failed to provide the telephone number or any information regarding the state toll free home health telephone hot line to 1 of 2 patients (Patient #6) in the sample who received home visits during the survey.

For 1 of 9 patients (Patient #2) in the sample, the registered nurse (RN) failed to perform the initial assessment visit within 48 hours of referral.

For 1 of 9 patients (Patient #3) in the sample, the plan of care failed to include the frequency of visits.

For 1 of 9 patients (Patient #2) in the sample, staff failed to inform the physician when there was a change in patient condition.