Life's Touch Home Health Inc

The agency failed to ensure a Home Health Aide (HHA) was qualified to provide care, in 1 of 1 HHA hired in the last 30 days.

The Administrator failed to ensure an employee was qualified and in good standing to provide care, in 1 of 5 Home Health Aide (HHA) hired in the last 30 days.

The agency failed to ensure all patients were provided a written visit schedule or were made aware of the visit schedule, including the frequency of visits by the home health agency staff for 2 of 3 home visits conducted.

The agency failed to ensure a medication list was provided to the patient in plain language for 2 of 3 home visits conducted.

The agency failed to ensure the patients were informed and received instruction regarding the plan of care treatments and services to be provided by the home health agency staff in 2 of 3 home visits.

The agency failed to ensure patients received all services ordered in the plan of care for 2 (Patients 4 and 5) of 5 active and closed clinical records reviewed.

The agency failed to provide the services as ordered by the physician in the plan of care for 1 of 3 active records reviewed of patients receiving home health aide services.

The agency failed to ensure they communicated with the physician of the need to revise the plan of care home health aide frequency for 1 of 3 active patient records reviewed of patients receiving home health aide services.

The agency failed to ensure it provided patients and/or their representatives with written notice of all required patient's rights within 4 days of the initial evaluation (See G 422); failed to ensure it provided patients and/or their representatives with written notice of the right to be free of…

The agency failed to maintain compliance with the condition of participation of Comprehensive Assessment of Patients, 42 CFR 484.55. Based on record review and interview, the agency failed to ensure the registered nurse documented having performed an initial assessment of the patient (See G 514)…

The agency failed to ensure drugs, services, and treatments were administered only as established by the physician in the plan of care (See G 572); failed to ensure the plan of care evidenced a correct start of care date and correct certification period, failed to document correct nutritional…

Skilled nursing failed to ensure drugs, services, and treatments were administered only as established by the physician in the plan of care (See G 710); failed to ensure Registered Nurses and Licensed Practical Nurses documented accurate clinical notes (See 716); and failed to ensure the registered…

The governing body failed to exercise their responsibility to revise the agency's quality assurance and performance improvement program was to ensure the quality assurance and performance improvement program was complete to include obtaining data, analysis, and corrections to the agency discharge…

The agency failed to maintain compliance with the condition of participation of Clinical Records.

The agency failed to ensure drugs, services, and treatments were administered only as established by the physician in the plan of care for 7 of 11 patients.

The agency failed to monitor and evaluate its discharge procedures/processes in their quality assurance and performance improvement (QAPI) program for 1 of 1 home health agency.

The agency failed to ensure staff followed accepted standards of practice in relation to hand hygiene and infection prevention and control for 1 of 1 skilled nursing home care observations made (Patient #3), in a sample of 3 home visit observations.

The governing body failed to exercise their responsibility to revise the agency's quality assurance and performance improvement program was to ensure the quality assurance and performance improvement program was complete to include obtaining data, analysis, and corrections to the agency discharge…

The agency failed to implement its policy for clinical record documentation and review for 3 of 11 patients whose clinical record was reviewed (Patients #3, 6, and 7.) The findings included: 1. Review of a policy, "Clinical Documentation," last reviewed/revised 11-2017, evidenced the policy stated…

The agency failed to ensure it provided patients and/ or their representatives with written notice of all required patient's rights within 4 days of the initial evaluation visit for 2 of 2 patients, with start of care on or after 1-13-18, of a total sample of 11 patients (Patients #4 and 5.) The…

The agency failed to ensure it provided patients and/or their representatives with written notice of the right to be free of verbal, mental, sexual, and physical abuse for 2 of 2 patients, with start of care on or after 1-13-18, of a total sample of 11 patients (Patients #4 and 5.) The findings…

The agency failed to ensure it provided patients and/or their representatives with written notice of the patient's right to all services outlined in the plan of care and the patient's right to refuse care for 2 of 2 patients, with start of care on or after 1-13-18, of a total sample of 11 patients…

The agency failed to notify patients of their right to a confidential clinical record and agency policies and procedures relative to the patient's right to access their clinical record for 2 of 2 patients with starts of care dates on or after 1-13-18, of a total sample of 11 patients (Patients #4…

The agency failed to ensure it provided patients and/or their representatives with written notice of the State Agency (Indiana State Department of Health-ISDH) home health agency complaint hotline within 4 days of the initial evaluation visit for 7 of 11 patients (Patients #1, 2, 4, 5, 6, 7, and…

The agency failed to ensure it provided patients and/or their representatives with written notice of required contact information for the required agencies within 4 days of the initial evaluation visit for 2 of 2 patients (Patients #4 and 5), with start of care on or after 1-13-18, of a total…

The agency failed to ensure it provided patients and/or their representatives with written notice of the patient's right to auxiliary aids and language services, and how to access these services, within 4 days of the initial evaluation visit for 2 of 2 patients (Patients #4 and 5) with start of…

The agency failed to implement its policy to ensure a registered nurse documented performance of an initial assessment for 8 of 11 patients whose clinical record was reviewed (Patients #1, 2, 4-8, and 10.) The findings included: 1. Review of a policy, "Patient Admission Process," last…

The agency failed to implement its policy to complete a comprehensive assessment no later than 5 calendar days after the start of care, for 5 of 9 patients with starts of care dates after the last full survey of 7-30-14, of a total sample of 11 whose clinical record was reviewed (Patients #1, 2, 5…

The agency failed to ensure the plan of care evidenced a correct start of care date and correct certification period(s) for 6 of 11 patients whose clinical record was reviewed (Patients #1, 2, 4, 5, 7, and 8); failed to document correct nutritional requirements for 2 of 6 active patients (Patient…

The agency failed to ensure the attending physician authorized all services prior to the agency having furnished care for 3 of 11 patients whose clinical record was reviewed (Patients #1, 2, and 7).

The agency failed to ensure the plan of care was updated when an order for insulin injections was discontinued for 1 of 3 patients with home visit observations (Patient #3) and failed to update the plan of care and medication orders to obtain clear and consistent insulin administration and hold…

The agency failed to ensure coordination of care with outside providers was documented to effectively coordinate care to support the care planning objectives of the patient for 3 of 7 patients with outside service providers (Patients #1, 2, and 5), and failed to coordinate services between the…

Skilled nursing failed to ensure drugs, services, and treatments were administered only as established by the physician in the plan of care for 4 of 11 patients.

The agency failed to ensure Registered Nurses and Licensed Practical Nurses documented accurate clinical notes for 2 of 11 patients (Patient #3 and 7) whose clinical record was reviewed.

The agency failed to ensure the registered nurse supervised the licensed practical nurse to ensure the licensed practice nurse followed accepted standards of practice in relation to hand hygiene, and infection prevention/control for 1 of 1 skilled nursing home care observations made (Patient #3) of…

The home health aide failed to ensure services were provided as ordered by the physician in the plan of care for 3 of 11 patients.

The agency failed to notify the state agency, Indiana State Department of Health (ISDH), of the vacancy in the position of Alternate Nursing Supervisor, on or about the time of departure from the position for 1 of 1 vacancy in a management position.

The administrator failed to discharge the responsibility of the day to day operations of the agency in relation to adequate supervision of delegated task of patient rights policy revision; and failed to ensure the intake of new patients was regulated to correspond to the staff available to meet…

The clinical manager failed to ensure coordination of care with outside providers was documented to effectively coordinate care to support the care planning objectives of the patient for 3 of 7 patients with outside service providers (Patients #1, 2, and 5), and failed to coordinate services…

The clinical manager failed to ensure the licensed practical nurse implemented the plan of care order to change the patient's suprapubic catheter monthly (Patient #3) for 1 of 1 home visit observation of a licensed practical nurse, of a total sample of 11 patients, failed to ensure the plan of care…

The administrator failed to ensure nursing followed accepted standards of practice in relation to hand hygiene and infection prevention/ control for 1 of 1 skilled nursing home care observations made (Patient #3), of a total sample of 11 patients.

The agency failed to ensure a complete clinical record was retained for 1 of 11 patients whose clinical record was reviewed (Patient #7).

The agency failed to include all goals pertinent to the patient's diagnoses on the plan of care for 1 of 3 records with a recertification on or after 1-13-18 (Patient #3), and for 2 of 2 patients with starts of care on or after 1-13-2018, of a total sample of 11 patients whose clinical record was…

The agency failed to implement its policy related to the required content of a discharge summary for 2 of 5 closed records reviewed (Patients #6 and 7), of a total sample of 11. The findings included: 1. Review of a policy, "Client Discharge Process," last reviewed/revised 11-2017, evidenced the…