Ness Co Hospital Home Care Services

The home health agency (HHA) failed to meet the Condition of Participation (CoP) for Quality Assessment/Performance Improvement (QAPI), as evidenced by failure to maintain a QAPI program as required.

The home health agency (HHA) failed to maintain an emergency preparedness testing program that complied with all applicable Federal, State, and local emergency preparedness requirements.

The home health agency (HHA) failed to maintain a quality assurance/performance improvement (QAPI) program that measured, analyzed, and tracked quality indicators to enable the HHA to assess its processes, services, and operations.

The home health agency (HHA) failed to monitor the effectiveness and safety of its services and quality of care and identify opportunities for improvement as a part of its quality assurance/performance improvement (QAPI) program.

The agency failed to ensure the plan of care was individualized to include: 1. All Primary & Pertinent Diagnoses and Procedures for 1 of 7 sampled patients, 5; 2. Patient-specific goals and measurable outcomes, for 1 of 7 sampled patients, 5; 4. Nutritional Requirements for 1 of 7 sampled patients…

The agency failed to ensure Physical Therapy (PT) provided services as ordered by the physician for 1 of 7 sampled patients, 6. All patients receiving PT had the potential to be affected by this deficient practice.