Morrison Home Health Agency

The agency failed to conform with physician orders.

The agency failed to investigate complaints for one patient in the survey sample who had multiple complaints filed with the agency.

The agency failed to provide care to patients according to their plans of care (refer to G572); The agency failed to ensure that all plans of care were complete and accurate (refer to G574); The agency failed to administer treatment(s) as ordered by the physician (refer to G580); The agency failed…

The agency failed to implement, evaluate and maintain an effective, ongoing HHA (Home Health Agency)-wide, data driven QAPI (Quality Assurance Performance Improvement) program (refer to G642); The agency failed to utilize quality indicator data, including measures derived from OASIS (Outcome and…

The agency failed to develop and implement an emergency preparedness plan (EPP) that contained all the required elements of the regulations and was reviewed annually.

The agency failed to develop and maintain an emergency preparedness plan (EPP) that included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency…

The agency's emergency's preparedness policies and procedures failed to include the procedures to follow up with on-duty staff and patients.

The agency failed to include the names and contact information for the following in their Emergency Preparedness Plan (EPP): staff, entities providing services under arrangement/contract, patient's physicians, volunteers if applicable, and/or other agencies.

The agency failed to state in their Emergency Preparedness Plan (EPP) their primary and alternate means for communicating with their staff and Federal, State, tribal, regional, and local emergency management agencies.

The agency staff failed to follow the individualized plan of care for one (1) of seven (7) patients in the survey sample (patient #2).

The agency failed to maintain a quality assessment/process improvement program (QAPI) with a defined scope of the program and show measurable improvement indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care.

The agency failed to maintain a quality assessment/process improvement program (QAPI) with identified quality indicators including measures from OASIS data were being measured, analyzed and tracked that would enable the agency to assess care and services.

The agency failed to document the quality improvement projects undertaken, the reasons for conducting the projects and the measurable progress achieved on the projects.

The agency's governing body failed to ensure an ongoing program for quality improvement and patient safety was defined, implemented and maintained; all improvement actions are evaluated for effectiveness and with clear expectations including any findings of fraud or waste appropriately addressed.

The agency failed to ensure each patient was advised in advance of providing care the extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid programs known to the HHA, the charges for services that may not…

The agency failed to provide the names, addresses, and telephone numbers of the Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource Center; and the Quality Improvement Organization where the patient resides for seven (7) of seven (7)…

The agency failed to ensure the patient's individualized plan of care included a description of the patient's risk for emergency department visits, measurable outcomes and/or goals, and patient stated goals for seven (7) of seven (7) patients whose records were reviewed in the survey sample…

The agency failed to ensure all patient care orders were recorded in the plan of care in one (1) of seven (7) patients whose records were reviewed in the survey sample (patient #3).

The agency failed to follow physicians orders for wound care on one (1) of one (1) patient whose record was reviewed in the survey sample receiving wound care (patient #3).

The agency's staff failed to document the patient's progress toward outcomes and goals specified in the plans of care for seven (7) of seven (7) patients in the survey sample admitted/recertified on or after 01/13/2018 (patients #1-7).

The agency failed to ensure any corrective action was taken on identified problems that directly or potentially threaten the health and safety of patients.

The agency failed to ensure actions were taken at performance improvement and that those actions were sustained.