Materelli Home Health Services, Inc

The agency failed to ensure review and update of a community-based risk assessment (All Hazards Risk Assessment) every two years for all patients and employees.

The agency failed to ensure the emergency preparedness communication plan included contact information for Local, State, Regional and Federal resources for the agency for all patients and employees.

The agency failed to ensure an emergency preparedness communication plan included contact information for employees and physicians that worked with the agency for all patients and employees.

The agency failed to ensure analysis, decision making and follow up monitoring of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure the initiation and review of a PIP for all patients and employees.

The agency failed to ensure the infection control program surveillance was included in QAPI activities in 2024 and 2025 for all patients and employees.

The agency failed to ensure governing board oversight for calendar years 2024 and 2025. Findings: A review of the governing board’s records showed no oversight of an operating budget, capital expenditure plan and allocation of resources activities and review and approval of a patient centered QAPI…

The agency failed to ensure advance beneficiary notices were provided prior to discharge from services to three (Patients #4, 5, and #9) of 10 patients.

The agency failed to ensure an evaluation for home care services was conducted within 48 hours of referral for two (Patients #1 and #3) of 10 patients.

The agency failed to ensure a recertification OASIS was completed every 60 days for two (Patients #2 and #3) of 10 patients.

The agency failed to ensure an individualized patient POC was developed and implemented every 60 days for two (Patients #2 and #3) of 10 patients.

The agency failed to ensure: 1.Physical therapy and Occupational therapy evaluations were conducted as ordered by the physician for one (Patient #6) of 10 patients. 2.SN monitored the weight of patients every visit as ordered by the physician for two (Patients #9 and #10) of 10 patients. 3.SN…

The agency failed to ensure clinical records were complete for three (Patients #1, 2 and #3) of 10 patients.

The agency failed to ensure a SOC / initial assessment was conducted within 48 hours of referral for one (Patient #1) of seven patients.

The agency failed to ensure evidence of a patient centered QAPI Program for all patients and employees.

The agency failed to ensure governing body oversite of: 1. A patient centered, data driven QAPI Program; 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar year 2021; and 3. Agency program evaluation for calendar year 2022 affecting all patients and…

The agency failed to ensure a community-based risk assessment (All Hazards Risk Assessment) that identified a date the assessment was developed and implemented and/or was reviewed for all patients and employees.

The agency failed to ensure an emergency preparedness testing and training program was developed, implemented and reviewed/updated at least annually for all patients and employees.

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted for calendar years 2021 and 2022 for all patients and employees.

The agency failed to ensure completion of a transfer/discharge summary for two (Patient's #6 and #7) of seven patients.

The agency failed to ensure development of an episodic Plan of Care after a comprehensive assessment for three (Patients #1, 2 and #5) of seven patients.

The agency failed to ensure evidence of a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure conduction of patient centered QAPI Program activities that included self-monitoring efforts and opportunities to identify problems to improve care, services and operations for all patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for calendar years 2021 and 2022 for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure its infection control program: 1. Included surveillance monitoring and reporting and; 2. Was included in QAPI program activities for all patients and staff.

The agency failed to show infection control education was: 1. Included in QAPI activities; 2. Showed interventions to reduce future infections; and 3. Education was provided and/or maintained for all patients and employees.

The agency failed to ensure: 1. COVID related policies and procedures were in place and; 2. Agency staff participation compliance rate with COVID 19 vaccination and/or exemption requirements of 100% for all patients and staff.

The agency failed to ensure governing body oversite of: 1. A patient centered, data driven QAPI Program; 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar year 2021; and 3. Agency program evaluation for calendar year 2022 affecting all patients and…

The agency failed to ensure governing body appointment of the current clinical manager (supervising RN) alternate for the agency affecting all patients and staff.

The agency failed to ensure patients’ rights to have completed assessments, participate in the establishment and revision of a plan of care and be informed of disciplines to provide services with expected frequencies of visits for three (Patients #1, 2 and #4) of seven patients.

The agency failed to ensure a SOC / initial assessment was conducted within 48 hours of referral for one (Patient #1) of seven patients.

The agency failed to ensure an initial assessment/SOC comprehensive OASIS assessment was conducted after referral to the agency for one (Patient #1) of seven patients.

The agency failed to ensure a recertification (updated comprehensive [OASIS]) assessment was completed for one (Patient #2) of seven patients.

The agency failed to ensure a resumption of care (updated comprehensive [OASIS]) assessment was completed after an inpatient hospital stay for one (Patient #5) of seven patients.

The agency failed to ensure SN visits were ordered by the physician for three (Patients #1, 2 and #5) of seven patients.

The agency failed to ensure care was coordinated between the agency and physician for four (Patient #4, 5, 6 and #7) of seven patients.

The agency failed to ensure SN visit notes were completed for one (Patients #2) of seven patients.

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.

The agency failed to ensure governing body appointment of the current administrator alternate for the agency affecting all patients and staff.

The agency failed to ensure a completed transfer/discharge summary of care was provided to receiving service providers for three (Patients #5, 6 and #7) of seven patients.