Network Providers for Home Health, Inc

The agency failed to ensure the HHA's emergency preparedness P&P addressed a system of medical documentation that secured and maintained availability of records during the emergency.

The agency failed to ensure the HHA's emergency preparedness P&P included the use of the volunteers in an emergency including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to develop the emergency communication plan to include the name and contact information of volunteers, creating the risk of not able to contact or request for assistance in the emergency events.

The agency failed to develop the emergency communication plan to include an alternate means of communication with federal agencies, creating the risk of not able to contact or request for assistance in the emergency events.

The agency failed to ensure the emergency preparedness communication plan included the method for sharing information and medical documentation for the HHA's patients with other health providers to maintain the continuity of care, creating the increased risk of not providing appropriate…

The agency failed to include the emergency exercises included the analysis of the emergency response and revise the emergency plan as needed, creating the risk of not knowing the priorities in the case of emergency.

The hospice failed to document the reasons for conducting or selecting the PI projects for the 2022, 2023, and 2024 and consistently measure the progress achieved on these projects.

The agency failed to ensure to maintain an infection control program related to the recapping of needles for one of seven sampled patients (Patient 6), creating the risk of the spread of infections.

The agency failed to implement and maintain the infection control program which included surveillance, identification, prevention, and control of infections.

The agency failed to ensure the agency's RN had prepared specific patient care instruction for the CHHA to meet the care needs for one of seven sampled patients (Patient 7), creating the increased risk of not providing necessary care and services to the patient.

The agency failed to ensure the clinical records were complete and accurate for two of seven sampled patients (Patients 4 and 7), creating the risk of substandard care provided to this patient as the clinical information was not complete.

The agency failed to ensure the initial comprehensive assessment was completed in a timely manner, consistent with the patient's immediate needs for one of seven sampled patients (Patient 6).

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for three of seven sampled patients (Patients 5, 6, and 7).

The agency failed to ensure the comprehensive assessments were updated within the last five days of every 60 days for six of seven sampled patients (Patients 2, 3, 4, 5, 6, and 7).

The agency failed to ensure the updated comprehensive assessment was completed within 48 hours of the patient's return to home from the acute care hospital for one of seven sampled patients (Patients 5).

The agency failed to ensure the discharge comprehensive assessments were updated for two of seven sampled patients (Patients 1 and 2).

The agency failed to revise and update the POC for one of seven sampled patients (Patient 6).

The agency failed to ensure for an effective communication with the physician for three of seven sampled patients (Patients 3, 4, and 7), creating the risk of not providing necessary care and services to these patients.

The agency failed to ensure the necessary care and services were coordinated for one of seven sampled patient (Patient 4).

The agency failed to provide the written instructions outlining the visit schedule for two of seven sampled patients (Patients 5 and 6).

The agency failed to provide the written instructions outlining the patient medication schedule/instructions, including medication name, dosage, and frequency and which medications would be administered by the HHA personnel and the patient/PCG for one of seven sampled patient (Patient 6), creating…

The agency failed to provide the contact information of the clinical manager for two of seven sampled patients (Patients 5 and 6).

The agency failed to ensure the patients received care and services as per the written POCs for six of the seven sampled patients (Patients 1, 2, 3, 5, 6, and 7).

The agency failed to ensure the patient/PCG teaching on care and services was provided to one of seven sampled patients (Patient 2).

The agency failed to ensure the clinical records were complete and accurate for four of seven sampled patients (Patients 1, 5, 6, and 7), creating the risk of substandard of care provided to these patients as their clinical information were not accurate and complete.

The hospice failed to ensure the CHHA had provided HA services in accordance with the POC for one of seven sampled patients (Patient 7), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to ensure the RN identified the CHHA provided services in accordance with the POC for one of the seven sampled patients (Patient 7), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency staff failed to follow the agency's P&P related to pain assessment, employee orientation, competencies, performance evaluations and health screening were provided as per P&P.

The agency failed to ensure the emergency preparedness plan included information addressing the patient population and type of services to be provided in an emergency, creating the risk of not providing appropriate, consistent, and quality care to the patients.

The agency failed to ensure the emergency preparedness P&P addressed the procedures to inform the State and local officials of any on-duty staff or patients that they were unable to contact.

The agency failed to ensure the emergency preparedness P&P addressed a system of medical documentation that protected confidentiality of the patient information, and secured and maintained availability of the records.

The agency failed to ensure the emergency preparedness communication plan included the contact information of the patients' physicians.

The agency failed to ensure the emergency preparedness communication plan included the contact information of the federal, state, tribal, regional, and local emergency preparedness staff.

The agency failed to ensure the emergency preparedness communication plan included the information related to the alternate means for communicating with staff, federal, state, regional and local emergency management agencies, creating the risk of not being able to communicate to meet the patient…

The agency failed to ensure the emergency preparedness communication plan included a means of providing information about the agency's occupancy, needs, and it's ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure the initial training in the emergency preparedness program was provided to the contracted individuals providing services under arrangement.

The agency failed to ensure the skilled professionals followed the standard precautions to prevent the transmission of infection related to wound care for one of the seven sampled patients (Patient 6), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to ensure the review of the patient's medications included all of the patient's medications for two of seven sampled patients (Patients 6 and 7), creating the risk of not identifying the potential adverse effects, significant drug interactions, duplicate drug therapy, and drug…

The agency failed to ensure the POC included specific information related to the blood sugar checking for one of seven sampled patients (Patient 3), creating the risk of not addressing the care needs for this patient.

The agency failed to ensure the POC was revised to reflect the patient's updated comprehensive assessment for one of the seven sampled patients (Patient 6), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to ensure the skilled professionals provided care and services in accordance with the POC for six of seven sampled patients (Patients 2, 3, 4, 5, 6, and 7), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals prepared accurate clinical notes for two of seven sampled patients (Patients 5 and 7), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the agency's RN provided supervisions to the SN to ensure quality of care and services provided for one of seven sampled patients (Patients 2 and 4), creating the risk of a substandard healthcare outcome to these patients.

The agency failed to ensure the CHHA provided care and services in accordance with the POC for one of seven sampled patients (Patient 5), creating the risk of not providing necessary care and services to this patient.

The agency failed to ensure the agency's RN provided supervision to the CHHA to ensure quality of care and services provided for one of seven patients (Patient 5), creating the increased risk of providing substandard healthcare outcomes to this patient.

The agency's Administrator failed to be responsible for the day to day operations related to employee health screening and competency assessments for three of six sampled employees (RN 2, LVN 1, and CHHA 1).

The agency failed to ensure the discharge summaries for two of seven sampled patients (Patients 1 and 2 ) were completed.