Medisource Home Health Services
Inspection 2025-04-24
· Recertification · 2 deficiencies · CMS source report (PDF)The facility failed to ensure that one of two staff (Physical Therapist (PT) 1) observed during home visits performed hand hygiene in a manner to prevent cross contamination.
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The Home Health Agency (HHA) failed to ensure that supplies kept in the supply storage room in the agency’s office for patient use were not expired.
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Inspection 2022-04-29
· Recertification · 14 deficiencies · CMS source report (PDF)G680-CONDITION Based on policy review, record review, observation, and interviews, the home health agency (HHA) failed to meet the requirements of the Condition of Participation of Infection Prevention and Control.
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E0009 Based on document review and interview, the home health agency (HHA) failed to develop a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.
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E0023 Based on record review and interview, the home health agency (HHA) failed to develop a policy that addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records needed during a…
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E0031 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included contact information for State, tribal, regional, and local emergency preparedness staff.
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E0033 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included the method to be used for sharing information and medical documentation for patients with other health providers to maintain continuity of care.
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E0034 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included how the agency would provide information about the agency's occupancy, needs, and the agency's ability to assist the authority having jurisdiction.
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G682 Based on policy review, observation, and interview, the home health agency (HHA) failed to ensure accepted standards of practice, including the use of standard precautions, were followed to prevent the transmission of infections and communicable diseases.
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G687 Based on record review, policy review, and interview, the home health agency (HHA) failed to develop and implement policies and procedures to ensure that all staff are fully vaccinated as required in QSO-22-07-All for COVID-19. Three (Registered Nurse (RN) 1, Occupational Therapist (OT) 1…
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G1028 Based on policy review, observation, and interviews, the home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based medical record system.
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G514 Based on record review, policy review, and interview, the home health agency (HHA) failed to ensure an initial assessment was conducted within 48 hours of the referral for one (Patient (P) 5) of seven sampled patients.
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G548 Based on record review, policy review, and interview, the home health agency (HHA) failed to ensure the resumption of care (ROC) visit was performed within 48 hours of the patient's return from the hospital for one (Patient (P) 1) of seven patient records reviewed for a ROC visit.
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G616 Based on record review, policy review, observation, and interviews, the home health agency (HHA) failed to ensure written information was provided to the patient regarding the patient's medication regimen as based on the medication review for two (Patient (P) 2, P3) of two patients observed…
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G710 Based on record review, policy review, and interviews, the home health agency (HHA) failed to ensure home health services were provided as ordered by the physician as indicated in the patient's plan of care (POC) for six (Patient (P) 1, P2, P4, P5, P6, P7) of seven sampled patients.
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G718 Based on record review, policy review, and interviews, the home health agency (HHA) failed to communicate with the physician in accordance with agency policy for missed visits and/or extra visits for five (Patient (P) 1, P2, P4, P6, P7) of seven sampled patients.
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