Methodist Home Care Services

The agency failed to ensure each patient received the home health services that were written in the individualized plan of care that identified measurable outcomes and goals in 4 of 12 active clinical records reviewed (Patients # 2, 3, 13, and 14).

The agency failed to ensure the Quality assessment and Performance Improvement (QAPI) program utilized measures derived from Outcome Assessment and Information Set (OASIS) to monitor quality of care and failed to ensure the detail and data collection was approved by the agency’s governing body in 1…

The agency failed to ensure the performance improvement activities included high risk, high volume, or problem prone areas and lead to an immediate correction of an identified problem that directly affects the health and safety of patients in 1 of 1 agency.

The agency failed to ensure accepted standards for infection prevention were followed to prevent the transmission of infections and communicable diseases in 4 of 7 active clinical records reviewed with a home visit (Patients #1, 2, 4, 6).

The agency failed to evidence they educated patients, who declined services and requested to be discharged from home health services, on the risks and potential adverse outcomes that may result from discontinuation of services in 2 of 5 closed clinical records reviewed (Patients # 9, 12).

The agency failed to evidence the patient, or their designated decision maker, was advised that discharge was imminent in 1 of 1 closed clinical record reviewed with a diagnosis of alcohol use (Patient #12).

The agency failed to ensure the skilled professional conducted an initial assessment within 48 hours of referral or patient’s return home in 1 of 3 active clinical records with PT only services (Patient #3) and 2 of 5 closed clinical records reviewed (Patients #8, 9).

The agency failed to ensure the comprehensive assessment was completed no later than 5 calendar days after the start of care for 1 of 1 patient with a home visit observation of PT services, and with a referral for OT and home health aide services, and diagnosis of a dementia.

The agency failed to evidence a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…

The agency failed to ensure the individualized plan of care included all required elements in 6 of 12 active clinical records reviewed (Patients # 1, 2, 9, 13, 14, and 15).

The agency failed to ensure all patient care orders including verbal orders were recorded in the plan of care in 2 of 12 active clinical records reviewed (Patients #2 and 14).

The agency failed to ensure drugs, services, and treatments were administered only as ordered by a physician in 9 of 12 active clinical records reviewed (Patients # 2, 3, 5, 6, 7, 13, 14, 16, and 17) and 4 of 5 closed clinical records reviewed (Patients #8, 9, 10, and 11).

The agency failed to ensure each patient received a patient-specific assessment for 1 of 1 start of care with comprehensive assessment observed on 12/17/24. (Patient 7) Findings Include: An observation of an initiation of the comprehensive assessment, on 12/17/24 beginning at 9:45 AM, for Patient…

The agency failed to maintain an accurate clinical record for 1 of 1 record reviewed with a SOC of 12/17/24. (Patient 7) The Findings Include: During a home visit observation on 12/17/2024 beginning at 9:45 AM, RN2 conducted an initial assessment and initiated the comprehensive assessment and…

The agency failed to ensure an appropriate skilled professional supervised HHA’s no less frequently than every 14 days in 2 of 4 active clinical records with HHA services (Patients # 13, 16).

The home health agency failed to ensure all clinicians created an individualized emergency preparedness plan with each patient, to include but not limited to relocation and shelter information for 4 of 8 clinical records reviewed.

The home health agency failed to ensure patients received all services outlined in the plan of care in 1 of 4 active clinical records reviewed.

The agency failed to ensure treatment was administered only as ordered by a physician in 1 of 3 clinical records reviewed with a home visit.

The home health agency failed to ensure every patient was provided with the required written visit schedule consistent with the plan of care for 1 of 3 patients where a home visit was conducted.

The agency failed to ensure patients written instructions provided to patient's included all medication instructions including medication name, dosage, and frequency of administration for 1 of 3 patients where a home visit was conducted.

The home health agency failed to ensure all skilled professionals prepared clinical documentation with accurate information in 1 of 4 discharged records reviewed.

The home health agency failed to send complete discharge summaries in 4 of 4 discharge records reviewed.

The home health agency failed to develop and implement an effective discharge planning process for the agency.

The home health agency failed to ensure the emergency preparedness plan contained contact information for each employee for reference in the event of a potential emergency.

The agency failed to ensure the OASIS [The Home Health Outcome and Assessment Information Set] data was accurate, complete, and reflected the patient’s status in 4 of 17 clinical records reviewed.

The agency failed to ensure an effective discharge process, failed to assist patients/caregivers in selecting post-acute care providers and failed to share data on quality measures with patients during discharge process for 2 of 2 patients transferred to an emergency department (ED), from a total…

The agency failed to send discharge summaries containing pertinent medical information, goals of care, and treatment preferences to receiving facility or practitioner in 5 of 5 closed clinical records reviewed.

The home health agency failed to ensure every home health aide (HHA) had an annual competency evaluation as described in the agency’s policy for 2 of 2 HHA personnel records reviewed.

The home health agency failed to ensure they arranged an appropriate transfer to another healthcare entity that could meet the needs of the patient in 1 of 7 home visits conducted.

The agency failed to ensure coordination of all services and interventions by integrating all orders from physicians in the plan of care in 1 of 5 discharge clinical records reviewed.

The agency failed to coordinate care delivery to meet the patient’s needs and involve the patient in coordination of care activities in 3 of 5 discharged clinical records reviewed.

The home health agency failed to ensure a copy of ordered therapy and treatments furnished by the agency was kept in every patients home for 2 of 7 patient home visits.

The agency failed to ensure services were provided as ordered in the plan of care in 7 of 12 active clinical records reviewed.

The home health agency failed to ensure the medical plan of care was followed and individualized in 2 of 2 active clinical records.

The agency failed to ensure all clinical record entries were legible, clear, complete, and appropriately authenticated in 2 of 3 clinical records reviewed for patients receiving physical therapy services.

The agency failed to ensure the individualized plan of care included all services, safety measures, medications and treatments in 2 of 2 discharged patient records out of a total sample of 4 records reviewed (#2, #4) The findings include: 1. Record review on 3/31/2021, evidenced an agency policy…

The home health agency failed to ensure the plan of care was revised to include all patient care orders, in 2 of 2 clinical records reviewed of patients with wounds.

The home health agency failed to ensure the skilled nurse notified the primary care physician of changes in a patient's condition that may require alteration of the plan of care, in 1 of 1 clinical record reviewed with a change in the patient's condition.

The Governing body failed to ensure the agency attained prior approval for a change of address to a new location for 1 of 1 agency.

The agency failed to ensure durable medical equipment (DME), supplies, and all medications were listed on the plan of care; and, failed to individualize the plan of care to include patient-specific measurable goals in 11 of 12 active and 3 of 5 discharged records reviewed in a sample of 17.…

The Physical therapist (PT) failed to ensure visits were made as ordered on the plan of care for 1 of 12 active patients receiving physical therapy from a sample of 17 records reviewed.

The agency failed to ensure the patient's address was correct on the plan of care in 1 of 12 active records reviewed.