Jethro Health System, LLC

The Home Health Agency (HHA) failed to meet the Condition of Participation related to Clinical Records.

The Home Health Agency (HHA) failed to electronically transmit completed Outcome and Assessment Information Set (OASIS) assessment data within 30 days of completion for 2 patients (#1and #5), out of a total of 7 sampled patients.

The Home Health Agency (HHA) failed to adhere to hand hygiene and glove use practices to reduce the risk of infection, during 1 of 1 home health visit observations of patient care.

The Home Health Agency (HHA) failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for 3 patients (#2, #6 and #7), out of a total sample of 7 patients.

The Home Health Agency (HHA) failed to ensure that services and treatments were administered only as ordered by a physician or allowed practitioner for 1 patient (#2), out of a total sample of 7 patients.

The Home Health Agency failed to ensure that performance is tracked and that improvement is sustained.

The Home Health Agency (HHA) failed to ensure that services were provided per the physician ordered plan of care for 2 patients (#7 and #5), out of a total sample of 7 patients.

The Home Health Agency (HHA) failed to ensure that clinical notes were prepared for services provided for 4 patients (#2, #6, #1 and #5), out of a total sample of 7 patients.

The home health agency failed to ensure that a Nurse Aide Registry background check for 4 of 4 employees reviewed (Administrator, Registered Nurse (RN) #1, RN #2, RN#3) was conducted prior to hire, as required.

The Home Health Agency (HHA) failed to ensure that clinical records contain information regarding assessment, medication administration, treatment, and services, and response to those interventions and that information was available to the physician issuing the orders as well as for the staff for 5…