Mdt Home Health Care Agency Inc

The HHA failed to demonstrate it advised the patient prior to initiation of service(s) the extent to which planned services would be covered by federally funded programs and the expected out-of-pocket cost to the patient for the services not covered by federally funded or federal aid program known…

The home health agency failed to provide the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient: the extent to which payment for home health agency (HHA) services may be expected from…

The home health agency failed to provide the patient with proper written notice, in advance of a specific service being furnished, if the Home Health Agency (HHA) believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care for 3 out of 4 Sampled…

The provider failed to arrange a safe and appropriate transfer to other care entities when the needs of the patient exceed the Home Health Agency's (HHA) capabilities for 1 out 4 Sampled Patients (SP).

The HHA failed to notify the patient of the HHA considering a discharge for cause due to patient's behavior is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient is seriously impaired on 1 out of 4 Sampled Patients (SP).

The provider failed to notify the patient, his or her representative (if any), that the Home Health Agency (HHA) is considering a discharge for cause on 1 out of 4 Sampled Patients (SP).

The provider failed to demonstrate it made efforts to resolve the problem(s) presented by the patient's behavior or situation before the Home Health Agency (HHA) consider a discharge for cause on 1 out of 4 Sampled Patients (SP).

The provider failed to demonstrate the patient and representative (if any) was provided with contact information for other agencies or providers who may be able to provide care on 1 out of 4 Sampled Patients (SP).

The provider failed to document the problem(s) and efforts made to resolve the problem(s), and enter this documentation into the patient's clinical record before the Home Health Agency (HHA) consider a discharge for cause on 1 out of 4 Sampled Patients (SP).

The provider failed to promptly alert the relevant physician(s) to any changes that suggest the plan of care should be altered for 1 out of 4 Sampled Patients (SP).

The provider failed to coordinate care delivery to meet the patient's needs for 1 out of 4 Sampled Patients (SP).

The registered nurse failed to prepare and record clinical notes for 2 out of 4 Sampled Patients (SP).

The provider failed to maintain a complete and accurate medical record that included all interventions, treatments, and responses to those interventions for 1 out of 4 Sampled Patients (SP).

The provider failed to ensure a completed discharge summary is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within 5 business days of the patient's…

The provided failed to notify the physician of a review and revision of the plan of care for 1 out of 4 Sampled Patients (SP).

The provider failed to receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care for 3 out of 4 Sampled Patients (SP).

The provider failed to complete a discharge comprehensive assessment in a timely manner in 1 out of 3 Sampled Patient (SP).

The provider failed to include in the individualized plan of care the following: all medications and treatments; description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors on 2 out of 4 Sampled…

The provider failed to have the Physical Therapist develop a plan of care for 1 out of 4 Sampled Patients (SP).

The home health agency staff failed to prepare clinical notes for 1 out of 4 Sampled Patients (SP).

The provider failed to maintain a clinical record that contained all of the assessments from the most recent home health admission, clinical notes, plans of care, and physician orders for 1 out of 4 Sampled Patients (SP).

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…

The provider failed to show that 3 out of 3 (#1, #2, #3) sample patients (SP) were informed in advance, of the care to be furnished, the disciplines that will furnish the care, and the frequency of visits.

The provider failed to ensure that 3 out of 3 (#1, #2, #3) sample patients received an initial comprehensive assessment by a registered nurse.

The provider failed to ensure that the aide supervision visit for 1 out of 3 (#2) sample patients included the required elements.