Las Vegas Home Health Care, Inc

The agency failed to maintain condition level compliance with the following Condition of Participation: 42 CFR §484.50 Patient rights Findings include: The cumulative effect of the following systematic practices resulted in the failure of the agency to protect and promote patient rights in the…

The agency failed to ensure an effective Governing Body was legally responsible for the conduct of the agency and failed to maintain condition level compliance with the following Condition of Participation: 42 CFR §484.105 Organization and administration of services Findings include: The cumulative…

The agency failed to provide documented evidence the direct care staff members had signed and completed the training on the agency’s emergency preparedness (EP) plan for 10 of 10 employee files reviewed (Employee 1 to 10).

The agency failed to electronically transmit each completed OASIS assessment within 30 days of completing the assessment of the beneficiary for 9 of 13 quarters since the last recertification survey in April 2021, and for 2 of 7 sampled patients (Patient 5 and 7).

The Governing Body failed to demonstrate responsibility for effective operation and management of the home health agency.

The Clinical Manager failed to provide oversight of patient care services and personnel, failing to enforce agency policies entwined with job responsibilities as outlined below.

The agency failed to ensure skilled visit notes were authenticated for 1 of 7 sampled patients (Patient 4).

The agency failed to establish policies and procedures to ensure the security of clinical records and the privacy of information contained within such records to prevent loss or unauthorized use in the patient's home, in transit, and in the office setting for 1 of 7 patients (Patient #6).

The agency failed to ensure the social worker (Employee 4) hired to provide the medical social services, obtained a master’s or doctoral degree in social work.

The agency failed to maintain patient privacy and protect patient information obtained electronically for 1 of 7 patients (Patient #6).

The facility failed to ensure the correct state toll free home health telephone hotline number was provided and posted conspicuously in the home health folder maintained for 3 of 3 patient home visits conducted (Patient 1, 2, and 3).

The agency failed to ensure it followed up with a recommendation to report patient neglect and then inadvertently neglected a patient by failing to assess, refer, order and administer wound care treatment in a timely manner for 1 of 7 patients (Patient 6).

The agency failed to ensure the comprehensive assessment included an accurate patient medication record for 2 of 7 sampled patients (Patient 3 and 6).

The agency failed to ensure wound care treatment orders were followed for 2 of 7 sampled patients (Patient 4 and 6); and failed to provide documented evidence the catheter drainage bag was changed weekly as ordered for 1 of 7 sampled patients (Patient 5).

The agency failed to ensure a nurse captured clinical information and entered it into the clinical record with an accurate time of day for 1 of 7 patients (Patient #6).

The agency failed to ensure a patient's wounds were identified, documented, received a provider referral and ordered care and treatment in a timely manner for 1 of 7 patients (Patient 6).

The agency failed ensure the comprehensive assessment for 7 of 7 Patients (Patient (P)1 P2, P3, P4, P5, P6, and P7) was complete and signed by the skilled professional who completed the assessment.