Monroe County Health Department and Home Health Agency
Inspection 2019-02-27
· Recertification · 9 deficiencies · CMS source report (PDF)The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in plain language and in a manner that is accessible and timely to: - Persons with…
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The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide the patient/representative, the notice of rights during the initial evaluation visit, in advance of…
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The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide written notice of the patient's rights that must be understandable to persons who have limited English…
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The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide verbal notice of the patient's rights in the individual's primary or preferred language and in a manner the…
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The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide written notice of the patient's rights under this rule and the agency transfer and discharge policies to a…
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The agency failed to include all treatments on the individualized plan of care in one (Record/Patient #3) out of six records reviewed.
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The registered nurse failed to update the plan of care in one (Record/Patient #6) out of six records reviewed.
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The agency failed to ensure effective ongoing interdisciplinary assessment of the patient but not limited to, two (Records/Patients #2 and #4) of four applicable cases reviewed.
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The agency failed to assure all staff had the Employee Disqualification List (EDL) checked prior to hire and had the Family Care Safety Registry (FCSR) checked prior to patient contact when one contract staff member (Employee-OT A) out of one applicable file reviewed did not have this information…
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