John Knox Village of Central Florida Inc

The agency failed to ensure the Condition of Participation for Care Planning, Coordination, Quality of Care requirement was met by failing to conduct case conferences for 7 of 7 sampled patients (Patients #s 1, 2, 3, 4, 5, 6, and 7); failure to notify physician of change in needs for 1 of 7 sampled…

The agency failed to ensure the Condition of Participation for Quality Assessment/Performance Improvement (QA/PI) requirement was met by failing to ensure the implementation of an ongoing Quality Assessment Program to monitor effectiveness, safety of services, and quality of care.

The agency failed to ensure the Condition of Participation for Organization and Administration of Services requirement was met by failing to develop and implement an ongoing home health agency-wide data-driven QA/PI Program.

The agency failed to maintain current medication profiles for 2 of 3 sampled patients (Patient #s 1 and 2), and failed to update medication profile for 1 of 3 patients (Patient #3).

The agency failed to ensure all orders were recorded in the Plan of Care for 1 of 7 sampled patients (Patient #3).

The agency failed to alert Physician for change in needs and outcomes, which were not achieved for 1 of 7 sampled patients.

The agency failed to ensure case conferences were conducted to integrate services, identify needs, and coordinate care by all disciplines for 7 of 7 sampled patients.

The agency Administrator failed to ensure the home health agency had an ongoing data-driven Quality Assessment/Performance Improvement Program (QA/PI) to measure performance and improve outcomes.