Linac Services Inc

The Home Health Agency staff failed to complete comprehensive assessments to accurately reflect the patient's current health status in two (2) of seven (7) active clinical records receiving skilled services, (Patients #3 and 4).

The Home Health Agency failed to ensure the clinician developed an individualized Plan of Care and included all required elements including all pertinent diagnoses, medications, and other required elements relative to the patient for two (2) of the seven (7) active clinical records reviewed…

The Home Health Agency failed to submit completed discharge summaries within five (5) business days of discharge to the primary care physicians for three (3) of three (3) closed clinical record reviews.

The State Agency conducted an unannounced Federal Medicare/ Medicaid Home Health Agency Recertification Survey from 10/17/19 through 10/24/19. Based on interviews with the Home Health Agency's agency staff, the agency failed to develop comply with applicable Federal, State and local emergency…

The State Agency conducted an unannounced Federal Medicare/ Medicaid Home Health Agency Recertification Survey from 01/17/19 through 10/24/19. Based on observation, record review, and staff interview, the Home Health Agency's staff failed to ensure that the developed Plans of Care were…

The State Agency conducted an unannounced Federal Medicare/ Medicaid, Home Health Agency Recertification Survey from 10/17/19 through 10/24/19. Based on interviews with the (HHA) Home Health Agency's agency staff, the agency failed to develop, implement, evaluate, and maintain an effective…

The Home Health Agency failed to comply with Federal, State and local emergency preparedness requirements to develop, establish, and maintain a comprehensive emergency preparedness program that includes an emergency preparedness plan.

The Home Health Agency failed to develop and maintain policies and procedures based on an emergency plan, risk assessment, and a communication plan.

The agency failed to develop and comply with applicable Federal, State and local emergency preparedness requirements to establish and maintain a communication plan.

The agency failed to develop and maintain an emergency training and testing program based on the emergency plan, the risk assessment, the policies and procedures, and the communication plan.

The Home Health Agency's staff failed to follow the physician's orders in one (1) of four (4) sampled ventilator patients (Patient #1).

The Home Health Agency failed to develop and maintain a Quality Assessment and Performance Improvement (QAPI) Program.

The Home Health Agency failed to develop a (QAPI) Quality Assessment and Performance Improvement Program utilizing quality indicator data, including measures derived from patient assessments other relevant data in the design of its program, and failed to collect and use the data collected to…

The Home Health Agency failed to develop performance improvement activities.

The Home Health Agency failed to conduct performance improvement projects.

The Home Health Agency failed to ensure that its governing body that has full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, including its quality assessment and performance improvement(QAPI) program, defined…

The Home Health Agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the Home Health Agency's quality assessment and performance improvement (QAPI)…

The Home Health Agency failed to document education provided to patients and caregivers that were specific to patients' plans of care, health conditions, and individual learning needs for six (6) of nine (9) clinical records (Patients # 4, 5, 6, 7, 8, and 9).

The agency's clinician failed to document updated and revised comprehensive assessments at discharge, in two (2) of two (2) closed clinical records for discharged patient (Patients #4 and 5).

The Home Health Agency's staff failed to ensure that the developed Plans of Care were individualized, accurate, specific to each patient's needs, and included all required elements in one (1) of four (4) sampled ventilator patients (Patient #1).

The Home Health Agency's staff failed to promptly alert the physician to changes in patients' condition, or needs that suggest that outcomes are not being achieved for one (1) of four (4) sampled ventilator dependent patients (Patient #1).

The Home Health Agency's staff failed to integrate services to assure identification of patient needs and factors that could affect patient safety and treatment effectiveness, and the coordination of care provided by all disciplines for one (1) of four (4) sampled ventilator dependent patients…

The agency's clinician failed to document discharge summaries that include the patients' progress in meeting care plan goals in two (2) of two (2) clinical records for discharged patients (Patients #4 and 5).