Mountain Home Health Care, Inc.

The facility failed to ensure infection prevention practices were followed during home health visits for 1 (Patient (P)10) of 4 (P7, P8, P9, and P10) patients observed receiving home healthcare visits.

E0023 Based on policy review and interview, the home health agency (HHA) failed to develop a policy that addressed a system of medical documentation in the event of a disaster that prevented the use of the electronic medical record documentation system that preserved patient information, protected…

E0034 Based on policy review and interview, the home health agency (HHA) failed to develop a policy that addressed the means of providing information about the HHA's occupancy, needs, and its ability to assist during a disaster to the authority having authority.

G710 Based on policy review, record review, and interviews, the home health agency (HHA) failed to ensure skilled professionals provided services as ordered by the physician for 8 (Patient (P) 1, P2, P3, P4, P6, P8, P9, P13) of 13 sampled records.

G718 Based on record review and interviews, the home health agency (HHA) failed to ensure the professional staff communicated with the physician and/or other agency professional staff involved in the patient's plan of care regarding a patient's report of a fall for two (Patient (P) 2, P12) of two…

The agency failed to implement infection control and prevention practices that included a method of identifying communicable disease problems by not performing Tuberculosis (TB, a disease caused by bacteria in the lungs) screenings for 2 (S#4 and S#7) of 6 files reviewed.

The agency failed to review all medications the patient is currently using in order to identify any potential adverse effects and drug reactions for 3 (P#s 1, 2,and 3) of 10 records reviewed.

The agency failed to provide treatment based on physician orders for 1 (P#4) of 10 records reviewed.

The facility failed to integrate services, whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could effect treatment effectiveness and the coordination of care provided by all disciplines for 1 (P#3) of 10 patients reviewed.

The agency failed to assure patient needs are continually assessed in 1 (P#3) of 10 patient records reviewed.