Kbc Nursing Agency & Home Health Care Inc
Inspection 2018-01-11
· Recertification · 17 deficiencies · CMS source report (PDF)The Home Health Agency failed to maintain complete and accurate clinical records containing past and current information for every patient accepted by the agency and receiving home health services, and failed to adhere to current clinical record documentation standards of practice in - of --…
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The Home Health Agency failed to develop and maintain a complete comprehensive emergency preparedness program.
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The Home Health Agency failed to develop an all-hazard facility-based and community-based risk assessment to identify potential hazards that the agency is likely to encounter.
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The Home Health Agency failed to consistently identify patients who would require additional assistance due to limitations in mobility, as well as the patients and residents are made aware of the procedures to evacuate (Patients # 7 and 8).
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The Home Health Agency failed to show documentation of efforts relevant to their process for ensuring cooperation and collaboration with local, regional, State, and Federal emergency preparedness officials' to ensure an integrated response during a disaster or emergency situation.
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The Home Health Agency failed to develop and implement emergency preparedness policies and procedures, based on the emergency plan, risk assessment, and a communication plan.
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The Home Health Agency failed to show documentation of policies and procedures relevant to their process for informing State and local emergency preparedness officials of the need for patient evacuations from their residences, including the clinical care needed for the identified patients, based on…
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The Home Health Agency failed to show documentation of policies and procedures pertinent to the manner of communicating appropriate information to emergency officials that would facilitate the patient's evacuation, transportation, and care of the identified patients.
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0023 Based on review of the Home Health Agency's Emergency Preparedness documents, and interviews with agency staff, the Home Health Agency failed to show documentation of policies and procedures relevant to a medical record documentation system that was develop to preserve information, protect…
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The Home Health Agency failed to show documentation of policies and procedures relevant to a medical record documentation system that was develop to preserve information, protect confidentiality of patient information, and secure and maintain availability of records.
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The Home Health Agency staff failed to complete timely, patient-specific, comprehensive assessment that accurately reflected the patient's current health status, and consistent with the patient's immediate needs in one (1) of 12 clinical records (Patient # 5).
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The agency's clinical staff failed to mainain a written Home Health Aide Care Plan in the patient's home for one (1) of five (5) Home Visits conducted (Patient # 4).
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The facility failed to have a qualified therapist complete the Home Health Initial Assessment within a 48-hour timeframe from the date of the referral in one (1) of 12 clinical records (Patient # 2).
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The agency's staff failed to ensure that the patient's developed Plan of Care was individualized, accurate, specific to the patient's needs, included all pertinent diagnoses, medications, treatments, safety precautions to protect against injury, and other appropriate items in one (1) of 12 clinical…
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The Home Health Agency staff failed ensure that the Plan of Care was signed and dated by a physician in one (1) of (12) clinical records.
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The agency's clinical staff failed to follow professional standards of practice regarding documentation of wound assessments in one (1) of three (3) clinical records for patients with surgical wounds (Patients # 5).
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The Home Health Agency failed to ensure that clinical records contained required items in four (4) of 12 clinical records (Clinical Records # 2, 5, 6, and 11) Findings included ... The Home Health Agency's undated policy, titled, "Contents of the Clinical record", numbered HH: 2-055.1 shows that…
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