Pacific Rim Home Health, Inc

The Home Health Agency (HHA) failed to meet the Condition of Participation for the Reporting of OASIS (Outcome and Assessment Information Set, a patient-specific, standardized assessment used in Medicare home health to plan care) by failing to ensure that the existing urostomy (a surgical opening…

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients by failing to: 1. Assess one of seven patients', (Patient 4) urostomy (a surgically opening in the abdominal wall through which urine passes) during a nurse's home visit.

The Home Health Agency (HHA) failed to meet the Condition of Participation for care planning, coordination of services and quality of care by failing to: 1. Follow the written plan of care for two of seven sampled patients, (Patients 3 and 6).

The Home Health Agency (HHA) failed to meet the Condition of Participation for Skilled Professional Services by failing to ensure that background checks were done for two of two employees (Employee 1 and 2), prior to being hired.

The home health agency (HHA) staff failed to reflect an existing urostomy (a surgical opening in the abdominal wall through which urine passes) in the recertification OASIS (Outcome and Assessment Information Set, a patient-specific, standardized assessment used in Medicare home health to plan…

The home health agency failed to assess the urostomy (a surgical opening in the abdomen to drain urine) for one of seven patients, (Patient 4) during a home visit.

The POC indicated to notify the physician when pain level was greater than 8 (hurts a whole lot), when pain level was not acceptable to the patient, when pain medications are not effective, and/or the patient was unable to tolerate the pain medication.

The home health agency failed to ensure the criminal background checks to the two of two newly hired employees (Employee 1 and 2) were obtained as indicated in the agency's hiring policy and procedure.

The patient did not have fall, or hospitalization.

2. Patient 5 had Zaditor 0.025 % e eye drop (dated 9/14/2021), but it was not included in the Medication profile.

The skilled nurse (SN) failed to notify the physician of patient's significant of condition to one of seven patients (Patient 3) with pain scale level of 9 (numerical scale from 0-10, with pain level of 10 being the worst pain) out of 10. This deficient practice had the potential for Patient 3's…