International Quality Homecare

The facility failed to evaluate all medications at time of recertification and address provider concerns to ensure all ordered medications were documented correctly.

The facility failed to ensure documentation of measurable progress achieved on the quality improvement project.

The facility failed to ensure a thorough investigation and ensure protection of patients during the investigation occurred for 2 of 3 patients (P20, P21) reviewed for allegations of misappropriation of property.

The facility failed to ensure allegations of misappropriation of property was reported to the state authority (SA) for 2 of 3 patients (P20, P21) reviewed for abuse.

The facility failed to admit within 48 hours of receiving referral or have physician order to change admit date for 4 of 17 (P4, P6, P7, P13) patients reviewed for admit.

The agency failed to ensure medication regimen reviews were completed to ensure medications identified on the plan of care (POC) were available and set up as ordered by physician for 1 of 3 patients (P5) observed with home visit for medication set up.

The agency failed to ensure the individualized plan of care (POC) was reviewed and revised by the provider every 60 days, beginning with the start of care for 6 of 13 patients reviewed (P6, P13, P18, P5, P14 and P9) for home care services.

The agency failed to ensure the plan of care was updated with medication dosage and frequency for 1 of 3 clients (C5) who were observed during home visits for medication set up.

The facility failed to report all branches of the agency to the state authority and at the time the parent branch added the branch.

The home health agency (HHA) failed to meet the Condition of Participation 484.50, Patient Rights.

The facility failed to develop policies and procedures to mitigate the transmission risk of COVID 19 for unvaccinated employees with exemptions for 2 of 2 staff home health aide (HHA)-A and HHA-B whom had exemptions.

The home health agency (HHA) failed to ensure abuse did not occur for 1 of 1 patient (P1) who was verbally abused by home health aide (HHA)- A who was providing care for P1. The IJ began on 4/26/22 when P1's county case manager observed home health aide (HHA)-A verbally abusing P1 at her home.

The agency failed to investigate and take appropriate action regarding an allegation of abuse for 1 of 1 patients (P1), when the county case manager informed the facility branch office coordinator that a home health aide (HHA)-A was verbally and emotionally abusive.

The agency failed to immediately report an allegation of verbal abuse to the state agency (SA) and administrator for 1 of 1 patient (P1) following an allegation of verbal abuse by a home health aide (HHA)-A.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The agency failed to ensure 5 of 6 patients (P1, P2, P3, P5, and P6) were free from verbal abuse, neglect of care or financial exploitation, including failure to protect and thoroughly investigate.

The agency staff failed to report immediately to the State Agency (SA) allegations of verbal abuse, neglect of care, and financial exploitation for 4 of 6 patients (P1, P2, P4, and P5) reviewed for abuse reporting.

The agency failed to communicate with the physician and the other agency providing services in the home for 1 of 3 patients (P1) reviewed, when orders were not followed.

The agency failed to complete a thorough medication regimen review to ensure medications identified on the plan of care were available and set-up as ordered by the physician for 1 of 2 patients (P4).

The agency failed to update the plan of care to reflect revisions made to medication orders for 1 of 2 patients (P5) observed during medication set up.

The agency failed to ensure medications were set-up for the patient as ordered by the physician for 2 of 3 patients (P1, P4) reviewed for medication set-up and failed to ensure the medication administration record (MAR) had written directions for a medication as ordered for 1 of 2 patients (P4)…

The agency failed to ensure 1 of 4 patients reviewed (P1) was free from sexual abuse and financial exploitation.

The agency failed to keep 1 of 1 patient (P1) free from sexual abuse and financial exploitation.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days for 1 of 4 patients (P1) reviewed who received home health aide and skilled nursing services.

The facility failed to ensure their communication plan included a means of providing information about the facility's occupancy needs, and its ability to provide assistance, to the authority having jurisdiction, to the Incident Command Center, or designee.

The home health agency failed to ensure a physician reviewed and signed the plan of care (POC) for 4 of 15 patients (P3, P14, P15 & P2) as required.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of their referral date for 4 of 15 (P3, P14, P15 & P2) patients in the sample.

The home health agency (HHA) failed to ensure the registered nurse (RN) completed a follow-up comprehensive assessment within the last 5 days of each 60 day certification period (between and including days 56-60) for 2 of 15 patients (P3 and P11) reviewed.

The agency failed to ensure each patient's plan of care (POC) included all required components for 4 of 15 (P3, P11, P14, & P2) patients whose records were reviewed.

The agency failed to ensure the plan of care (POC) was updated to include a current treatment for a pressure ulcer was included for 1 of 1 patients (P2) reviewed.

The agency failed to ensure a physician signature for referral of start of care for 3 of 15 (P3, P14 & P2) patients in the sample.

The facility failed to ensure clinical notes were prepared to reflect care given during patient visits for 1 of 15 patients (P1) whose records were reviewed.

The agency failed to ensure direct supervisory visits were completed every 60 days while an aide was present for 1 of 3 non-skilled patients (P3) reviewed.