Laporte Home Care Services, LLC

The home health agency failed to ensure the home health aides provided under arrangement had met the training or competency evaluation requirements in 1 of 1 home health aide contracted agreement.

The home health agency failed to ensure the patient's needs were continually assessed in 1 of 1 active clinical records reviewed with only physical therapy services (Patient #5).

The home health agency failed to ensure the home health aide contract for services specified how the primary home health aide supervision would occur in 1 of 1 home health aide contracted agreements.

The home health failed to provide services as ordered in the plan of care (see tag G572); failed to include in the individualized plan of care the types of services, supplies, equipment required, all medications and treatments, visit frequencies, and measurable outcomes and goals identified by the…

The home health agency failed to have an emergency preparedness plan that included collaboration with local, tribal, regional, State, and Federal emergency preparedness officials to maintain an integrated response during an emergency situation.

The home health agency failed to ensure the encoded outcome assessment and information set (OASIS) data accurately reflected the patient’s status at the time the OASIS was completed in 1 of 1 home visit patients with an occupational therapist (Patient #1).

The agency failed to provide services as ordered in the plan of care in 1 of 1 home visit with a licensed practical nurse (LPN).

The home health agency failed to conform to the physician orders in 1 of 1 home visits with a physical therapist (Patient #1).

The home health agency performance improvement activities failed to track adverse patient events in 2 of 2 clinical records reviewed with a patient fall (Patient #2, 9).

The agency failed to ensure the initial assessment was completed within 48 hours of the referral in 1 of 1 active clinical record reviewed with home health aide services ordered.

The home health agency failed to ensure the plan of care included all equipment required, nutritional requirements, all medications, treatments, visit frequencies, and measurable outcomes and goals in 7 of 9 active clinical records reviewed (Patient #1, 3, 4, 5, 6, 7, 8) and 2 of 4 discharged…

The agency failed to ensure the services and treatments were provided only as ordered by a physician in 2 of 3 records reviewed with a home visit by a skilled nurse.

The agency failed to promptly alert the physician to changes in the patient's condition in 3 of 9 active patient records reviewed (Patients #3, 6, 9).

The agency failed to revise the plan of care in 1 of 1 home visit with a licensed practical nurse.

The agency failed to coordinate care in 1 of 1 patient records reviewed on dialysis (Patient #9).

The home health agency failed to prepare complete clinical notes in 3 of 8 clinical records reviewed with a skilled nurse (Patient #3, 8, 9).

The agency failed to ensure all services were provided in accordance with accepted professional standards of practice in 1 of 1 records reviewed of patients on dialysis (#9).