International Home Care Services
Inspection 2018-05-03
· Recertification · 42 deficiencies · CMS source report (PDF)The facility failed to develop an emergency preparedness plan that is based on and include a documented facility-based and community-based risk assessment, utilizing an all hazards approach, that include strategies for addressing emergency events identified by the risk assessment and that included…
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The Home Health Agency (HHA) failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) assessment to the CMS system within 30 days of completing the assessment of the beneficiary.
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The Home Health Agency (HHA) failed to ensure a review of all medications the patients are taking (G536).
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The Home Health Agency (HHA) failed to ensure employment of qualified personnel (G952).
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The provider failed to show that staff met the requirement as a physical therapist (Refer to 1066).
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The facility failed to develop an emergency preparedness plan that is based on and include a documented facility-based and community-based risk assessment, utilizing an all hazards approach, that include strategies for addressing emergency events identified by the risk assessment and that included…
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The facility failed to develop an emergency preparedness plan that addresses patient/client population, and continuity of operations.
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The facility failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…
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The facility failed to develop an emergency preparedness policies and procedures, based on the emergency plan.
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The provider failed to ensure its emergency preparedness plan addressed when and how information is communicated to emergency officials and to include the clinical care needed for patients.
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The provider failed to ensure their emergency preparedness plan included timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will inform State and local…
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The provider failed to develop emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.
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The provider failed to ensure its emergency preparedness plan included a communication plan that address how the facility will coordinate patient care within the facility, across healthcare providers, emergency management agencies and with state and local public health departments.
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The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.
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The facility failed to develop an emergency preparedness plan that included the primary and alternative means of communicating with facility staff, Federal, State, tribal, regional, and local emergency management agencies.
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The provider failed to develop an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.
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The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.
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The provider failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role.
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The provider failed to conduct exercises to test the emergency plan.
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The provider failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) assessment to the CMS system within 30 days of completing the assessment of the beneficiary on 6 out of 7 Sampled Patients (SP).
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The provider failed to ensure the physical therapy assistant is supervised in 1 out of 7 Sampled Patients (SP).
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The provider failed to ensure that the written instructions for the home health aide are prepared by the Registered Nurse in 1 out of 7 Sample Patients (SP).
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The provider failed show that 1 out of 8 (staff H) personnel, were qualified to provide physical therapy services.
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The home health agency failed to provide the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 5 out of 5 Sampled Patient (SP) actively receiving care from the Home…
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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…
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The provider failed to ensure that a review of all medications the patient is taking in 3 out of 3 Sampled Patients (SP) with home visits.
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Base on record review and interview, the provider failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days in 1 out of 7 Sampled Patients (SP).
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Base on record review and interview, the provider failed to complete a comprehensive resumption of care (ROC) assessment within 48 hours of the patient's return to the home from a hospital admission in 1 out of 7 Sampled Patients (SP).
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The provider failed to ensure that a comprehensive discharge assessment was accurate and completed for 1 out of 7 Sampled Patients.
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The provider failed to include in the individualized plan of care the following: (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and (xv) Information related to any advanced…
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The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.
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The provider failed to demonstrate effective coordination of care provided by all disciplines in 1 out of 7 Sampled Patient (SP).
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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.
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The provider failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 7 Sampled Patients (SP).
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The provider failed to ensure that timely supervision of the Licensed Practical Nurse (LPN) is conducted by the Registered Nurse (RN) in 1 out of 7 Sampled Patients (SP).
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The home health agency failed to provide rehabilitative therapy service under the supervision of an physical therapist that meets the requirements for 1 out of 7 Sampled Patients (SP).
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The home health aide failed to document the service(s) provided as included in the plan of care for 1 out of 7 Sampled Patients (SP).
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The home health agency Administrator failed to ensure employment of qualified personnel for 1 out 8 sampled personnel record review.
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The clinical manager failed to coordinate patient care for 1 out 8 Sampled Patients (SP).
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The provider failed to have the clinical manager assure the patient's needs are continually assessed for 1 out of 7 Sampled Patient (SP).
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The provider failed to have the clinical manager assure the development, implementation, and updates of the individualized plan of care for 1 out of 7 Sampled Patient (SP).
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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.
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