Omni Home Care Agency Inc
Inspection 2022-09-21
· Complaint · 18 deficiencies · CMS source report (PDF)This CONDITION is not met as evidence by: Based on interview, clinical record review and review of policies and procedures, it was determined that the Home Health Agency (HHA) failed to obtain the patient's or legal representative's signature (Refer to G418); and failed to have patient or legal…
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This CONDITION is not met as evidence by: Based on interview, clinical record review and review of policies and procedures, it was determined that the Home Health Agency (HHA) failed to develop an individualized Plan of Care that must specify the care and services necessary to meet the…
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This CONDITION is not met as evidence by: Based on interview, clinical record review and review of policies and procedures, it was determined that the Home Health Agency (HHA) failed to provide ongoing interdisciplinary assessment of the patients (Refer to G706) and provide services that are…
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The home health agency failed to develop an individualized Plan of Care (POC) that identifies patient-specific measurable outcomes and goals for 1 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate all entries in the clinical record are appropriately authenticated, which includes a primary author who has reviewed and approved the entry for 1 out 3 Sampled Patients (SP).
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The home health agency failed to demonstrate it had obtained the patient's or legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 2 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate it had the patient(s) and the patient’s legal representative participate in, be informed about, and consent or refuse care in advance of and during treatment of the care to be furnished, the completion of all assessments, the care to be furnished based…
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The home health agency failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced…
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The home health agency failed to promptly alert the relevant physician of the patient's condition or needs that suggest the plan of care should be altered for 1 out 3 Sampled Patients (SP).
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The home health agency failed to demonstrate coordination of care delivery and communication with the patient's physician involved in the plan of care for 1 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate documentary evidence of its Quality assessment and performance improvement (QAPI) that lead to an immediate correction of any identified problem that directly or potentially threaten the health and safety of patients.
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The home health agency failed to demonstrate the skilled professionals assumed responsibility for conducting ongoing interdisciplinary assessment of the patients for 3 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate the staff provides the services that are ordered by the physician or allowed practitioner as indicated in the plan of care for 1 out of 3 Sampled Patients (SP).
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The Licensed Practical Nurse failed to prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care for 2 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate the clinical manager assure the development, implementation, and updates of the individualized plan of care for 3 out of 3 Sampled Patient (SP).
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The home health agency staff failed to comply in accordance with current clinical practice guidelines and accepted professional standards of practice for 2 out of 3 Sampled Patients (SP).
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The home health agency failed to demonstrate complete documentation of all interventions, including treatments, and responses to those interventions for 1 out of 3 Sampled Patients (SP).
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