National Home Care Services, Inc

The agency failed to provide education of the COVID-19 virus for 3 of 4 patients/caregivers (MR# 1, 3, and 4) resulting in the potential spread of a contagious viral infection between agency staff and the agency's 42 current patients.

The agency failed to develop and maintain an emergency preparedness program that included the required elements, that must be reviewed and updated at least annually, resulting in the potential for the Agency's inability to provide safe patient care in the event of an actual emergency for 47 of 47…

The agency failed to have policies and procedures for the use of volunteers and other staffing strategies in its emergency plan, resulting in no directives in the event volunteers are utilized during an actual emergency, potentially affecting 47 of 47 patients currently admitted to the agency.

The Agency (HHA) failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws regarding agency staff, contracted services, patient physicians, other healthcare facilities, and volunteers that had been reviewed and updated at least…

The agency failed to provide documentation for the required annual tabletop and community based full-scale exercises nor documentation of an actual event that would qualify as a test of the emergency plan, resulting in no testing of the agency's emergency preparedness plan, potentially affecting 47…

The agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program demonstrated measurable improvement in quality of care indicators by measuring, analyzing and tracking quality indicators for patient care which had the potential to affect 47 of 47 active patients, resulting…

The agency failed to ensure the Quality Assessment Performance Improvement (QAPI) program developed and utilized data elements to monitor the effectiveness, quality and safety of patient care services to identify areas for improvement, which had the potential to affect 47 of 47 active patients; and…

The agency failed to ensure that the infection control program was integrated into the Quality Assessment Performance Improvement (QAPI) program which had the potential to affect 47 of 47 active patients, resulting in the potential for the spread of infections between staff and patients.

The agency failed to ensure skilled nursing (SN) prepared clear written patient care instructions and included safety precautions in three (MR #2, 3, and 6) of three sampled patients reviewed in which Home Health Aide (HHa) services were provided, resulting in the potential for the provision of…

The Home Health Agency (HHA) failed to provide written notification of the administrator's name, at the start of care, as the person to submit their complaints for 47 of 47 active patients, resulting in failure to maintain the patients' rights for the agency's 47 current patients.

The Home Health Agency failed to inform the patients of the Federally-funded and state funded entities, and their addresses that serve the area where the patients reside for 47 of 47 active patients, resulting in failure to maintain the patients' informational rights for senior services for the 47…

The Agency (HHA) failed to ensure the initial care assessment addressed the patient's specific needs for one (MR #7) of seven sampled patients reviewed for start of care comprehensive assessments, resulting in a plan of care (POC) that was inadequate in determining the patient's immediate care and…

The agency failed to ensure the plan of care (POC) covered all pertinent interventions with specified reportable parameters and specified goals in four (#s 2, 5, 6, and 7) of seven sampled patients reviewed for plan of care, resulting in patients not receiving care specific to their individual…

The registered nurse failed to obtain a physician's order for nursing services and wound care, prior to providing services for 1 of 6 records reviewed with nursing services (M.R. #1), resulting in nursing services not ordered by a physician.

The RN (registered nurse) and the PT (physical therapy) failed to promptly notify the physician of the delay in the start of care, the need for wound care orders and any other patient needs in 2 of 6 records reviewed (M.R. #1 and 2), resulting in unmet care needs.

The Home Health Agency (HHA) failed to ensure the administrator was appointed by the governing body.