Parc Home Care

The agency failed to ensure the clinical record was complete and included all clinical notes for 1 (P-1) of 3 records reviewed (see G1012); and failed to ensure a discharge summary was forwarded to the physician within 5 days of discharge in 1 (P-1) of 2 closed records (see G1022).

The agency failed to ensure visit frequencies were provided only as ordered by the physician for 1 (P-1) of 3 records reviewed, resulting in the potential for the provision of inappropriate care and services.

The agency failed to ensure the clinical record was complete and included all clinical notes for 1 (P-1) of 3 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to ensure a discharge summary was forwarded to the physician within 5 days of discharge in 1 (P-1) of 2 closed records, resulting in the potential for unidentified continuing health care concerns and unmet care needs.

The agency failed to ensure visit frequencies were provided only as ordered by the physician for 1 (P-1) of 3 records reviewed, resulting in the potential for the provision of inappropriate care and services.

The agency failed to develop an Emergency Preparedness Plan that had been reviewed and updated at least every 2 years, resulting in lack of guidance and direction for agency personnel in the event of an actual emergency or disaster.

The agency failed to develop and establish written Emergency Preparedness policies and procedures that were based on the Emergency Preparedness plan, risk assessment and communication plan that had been reviewed and updated at least every 2 years, resulting in the agency’s inability to implement…

The agency failed to develop a testing and training program that had been reviewed and updated at least every 2 years as per this requirement, resulting in staff being ill-prepared in the event of an actual disaster.

The agency failed to ensure its Home Health Aide followed Infection Control Standards of Practice during the provision of care for 1 (P-4) of 2 patients observed during a home visit, from a total of 19 sampled records reviewed, resulting in the potential for the development and spread of infection.

The Agency failed to ensure the Skilled Nurse prepared clear written patient care instructions for the home health aide regarding client needs, that included safety precautions, prior to the provision of care in 3 (P-4, P-6, P-1) of 5 records in which Home Health Aide services were ordered, from a…

The agency failed to ensure that 2 (P-5, P-8) of 5 patients observed during home visits, from a total of 19 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of…

The agency failed to ensure the patient received proper written notice/Notice of Medicare Provider Non-Coverage, in advance of the agency terminating on-going care for 5 (P-6, P-1, P-3, P-16, P-19) of 7 discharged records, from a total of 19 sampled records reviewed, resulting in the patient being…

The Agency failed to complete an accurate Initial Comprehensive Assessment during the start of care in 5 (P-8, P-9, P-10, P-13, P-14) of 19 total sampled records, resulting in the potential for unmet patient needs and poor clinical outcomes.

The agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 2 (P-4, P-6) patients who required assistance with grooming, dressing and toileting, and failed to include a relevant service to meet the psycho-social needs in 1 (P-14) of 1…

The Agency failed to ensure its procedure to perform a comprehensive review was sufficient within accepted standards of professional practice in determining any potential adverse medication effects such as: side effects, drug interactions, and duplicate drug therapy in 1 (P-14) of 1 record reviewed…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals specific to the needs of the patient for 8 (P-5, P-6, P-7, P-10, P-11, P-13, P-14, P-17) records, from a total of 19 sampled records…

The Agency failed to ensure services were provided only as ordered by the physician in 2 (P-13, P-17) of 2 records reviewed with supplemental oxygen, out of a total sample of 19 records, resulting in the potential to negatively affect all 609 patients currently serviced by the Agency.

The agency failed to ensure the Physician was promptly notified of a significant change in condition for 1 (P-6) of 4 records reviewed of a patient who complained of intractable itching, from a total of 19 sampled records, resulting in unrelieved, untreated health conditions and unmet care needs.

The agency failed to ensure its skilled discipline performed baseline assessments for 1 (P-5) patient observed during a home visit with bilateral lower extremity edema, from a total of 17 sampled records reviewed, resulting in the potential for unidentified untreated health conditions and decline…

The agency failed to ensure that the clinical record notes were written in a manner for reader understanding in 1 of 17 (P-9) records reviewed in which documentation in the record included undefined abbreviations and misspelled words.

The agency failed to ensure the Home Health Aide provided care and services as ordered in the Plan of Care for 1 (P-4) of 5 patients observed during home visits, from a total of 19 sampled records reviewed, resulting in the patient not receiving services based on her identified needs.

The agency failed to include objectively measurable goals in the Plan of Care to determine the patient's progress towards obtaining the goals in 4 of 17 records reviewed (P-8, P-9, P-10, P-11) resulting in the inability to determine the patient progress towards attaining the goals.

The agency failed to ensure transfer summaries were sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after transfer from the HHA within 48 hours of transfer in 3 (P-6, P-9, P-15) of 4 records reviewed with…

The Agency failed to ensure an Emergency Preparedness Plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, resulting in the potential for lack of preparedness and poor patient and staff outcomes, in the event of an actual emergency…

The agency failed to conduct the Start of Care Assessment within 48 hours of the physician referral (See G-514); failed to conduct a patient-specific comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset…

The agency failed to conduct the Start of Care Assessment within 48 hours of the physician referral (See G-514); failed to conduct a patient-specific comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset…

The agency failed to maintain compliance with this condition of participation.

The Physical Therapist failed to utilize professional standards of practice during the provision of Therapeutic exercises for 1 (MR #7) of 2 patients observed during a home visit, from a total of 17 sampled records reviewed, resulting in the potential for injury (G704); failed to ensure…

The Agency failed to ensure an Emergency Preparedness Plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, resulting in the potential for lack of preparedness and poor patient and staff outcomes, in the event of an actual emergency.

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all current staff, patient's physicians, and volunteers, as appropriate, which had the potential to negatively affect the health and safety of the 25 patients currently…

The Agency failed to ensure all staff including contracted staff received initial and ongoing training in the Agency's Emergency Preparedness policies and procedures, resulting in staff being ill-prepared in the event of an actual disaster or emergency.

The Agency failed to provide documentation for the required annual tabletop and community based full-scale exercises and failed to provide documentation of an actual event that would qualify as a test of the emergency plan, resulting in staff being unprepared in the event of an actual emergency.

The agency failed to ensure the plan of care included patient specific objectively measurable goals and outcomes in 1 of a total of 17 sampled records reviewed (MR#s: 1), resulting in difficulty determining the patient's progress toward the achievement of goals.

The agency failed to ensure skilled nursing provided assessments and interventions as ordered by the physician for 1 of 17 (MR# 4) records reviewed, resulting in a lack of assessments needed to determine the patient's health status and poor patient outcomes for the patient.

The agency failed to develop, implement, evaluate, and maintain an agency-wide, data driven Quality Assessment and Performance Improvement program in 2020, 2021, and 2022. Resulting in no documented evidence of the agency's efforts to monitor agency processes and improve patient outcomes for the…

The agency failed to collect and utilize quality indicator data and other relevant agency data in the design of its quality assessment and performance improvement program, resulting in the potential for poor quality outcomes for the 1249 patients admitted to the agency in the past 12 months.

The agency failed to ensure to conduct performance improvement projects in 2020, 2021, and 2022, resulting in no coordinated efforts to improve patient outcomes for the 1249 patients admitted to the agency in the past 12 months.

The governing body failed to ensure the agency developed, implemented, and maintain an agency-wide, data driven Quality Assessment and Performance Improvement program in 2020, 2021, and 2022. Resulting in a lack of oversight by the governing body to ensure patient safety and quality of care…

The agency failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of their Quality Assessment Performance Improvement program in 2020, 2021, and 2022, resulting in the potential…

The Physical Therapist failed to utilize professional standards of practice during the provision of Therapeutic exercises for 1 (MR #7) of 2 patients observed during a home visit, from a total of 17 sampled records reviewed, resulting in the potential for injury.

The Agency failed to ensure the Skilled Nurse prepared clear written patient care instructions for the Home Health Aide regarding client needs, and safety precautions prior to the provision of care in 2 (MR's #8, 9) of 4 records in which Home Health Aide services were ordered, from a total of 17…

The agency failed to ensure that 4 (MR's #5, 6, 7, and 9) of 7 patients observed during home visits, from a total of 17 sampled records reviewed, and 2 (MR's# 11 and 17) of 17 patients were included in their overall planning of care including informing the patient/caregiver in advance of the days…

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (MR# 8) of 5 discharged records, resulting in the patient being denied the right to appeal the decision to end Medicare covered…

The Agency failed to provide documented evidence of the existence of complaints received, details of the investigation and the resolution of the complaints, as per this requirement, resulting in the potential for unaddressed patient/family concerns, inability to exercise one's rights and unmet care…

The agency failed to conduct the Start of Care Assessment within 48 hours of the physician referral in 1 of 17 records reviewed (MR#1), resulting in a delay of needed care.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 6…

The agency failed to include patient specific measurable baseline health information and data on the initial comprehensive assessment to determine the patient's progress toward achieving goals in 1 (MR#s 1) records reviewed out of a total of 17 records reviewed resulting in lack of information to…

The Agency failed to ensure the patient's Activities of Daily Living and Medical Social Work needs were adequately met in the patient's home in 3 (MR's #8, 9, 10) of 3 records reviewed of patients who required these services, from a total of 17 sampled records reviewed, resulting in the potential…

The agency failed to ensure the registered nurse reviewed patient medications for possible side effects and possible drug interactions for 13 of 17 (MR#s 1, 2, 3, 4, 7, 10, 11, 12, 13, 14, 15, 16, 17) records reviewed, and failed to complete a medication reconciliation to the referral for 3 of 17…

The agency failed to ensure the Plan of Care included objectively measurable and individualized goals to determine the patient's progress towards goals in 6 of 17 records reviewed.

The Agency failed to ensure its skilled disciplines promptly notified the Physician of 1 (MR #8) of 1 patient who experienced a 6-pound unplanned weight loss, and 1 (MR #9) of 1 patient observed during a home visit with an elevated blood sugar and decreased blood pressure, from a total of 17…

The agency failed to provide 2 (MR's #7, 9) of 2 patients observed during a home visit, with a Medication Profile that included the names, dosages, frequencies and side effects of the patient's prescribed medications, in plain language, from a total of 17 sampled records reviewed, resulting in lack…

The Agency failed to ensure Occupational/Physical Therapy services were provided as ordered for 6 (MR's #7, 9, 10, 15, 16, 17); and failed to ensure the Registered Nurse followed the plan of care, including obtaining weights for 4 (MR #8, 11, 12, 13) of 7 patients with diagnoses that included…

The Agency failed to ensure its Skilled Disciplines provided education regarding medication usage to both the patient and caregiver for 1 (MR #9) of 1 patient observed during a home visit who experience a drop in blood pressure, from a total of 17 sampled records reviewed, resulting in the…

The agency failed to ensure clinical notes were accurate for 2 of 17 (MR# 11 and 15) records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The Agency failed to ensure a discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 3 (MR#'s 1, 15 and 16), of 5 closed records, from a total of 17 records reviewed…

The agency failed to ensure the registered nurse prepared written patient care instructions for the home health aide, that included specific safety precautions for 4 of 5 patients (M.R.#1, 2, 6, and 7) in which aide services were provided, resulting in the potential of unsafe care.

The Home Health Agency failed to inform their patients of the addresses and phone numbers of the Federally-funded and State funded entities, in the areas where their patients reside for 20 of 20 active patients, resulting in a failure to maintain the patients' informational rights and provide…

The agency failed to ensure the comprehensive assessment included baseline information detailing the patient's current health at the time of admission for 2 of 7 (MR#6 and 7) records reviewed, resulting in incomplete clinical information to assist in determining the needs of the patient.

The agency failed to ensure the registered nurse reviewed patient medications for possible side effects and possible drug interactions for 3 of 7 (MR#s 5, 6, and 7) records reviewed.

The agency failed to ensure the plan of care included safety measures specific to the needs of the patient for 2 of 7 (MR#s 6, 7) records reviewed.

The agency failed to ensure skilled professionals prepared clinical notes for 3 of 7 (MR# 1, 2 and 6), records reviewed, resulting in the physician not having a complete clinical picture of the patient's health status and progress toward goals during the period of care.

The agency failed to ensure the home health aide provided services as ordered on the plan of care for 2 of 5 patients (MR# 1 and 2) in which aide services were provided, resulting in the patient not receiving services as ordered.

The agency failed to ensure the clinical manager coordinated patient care for 1 of 7 (MR#6) records reviewed in which patients received services from more than one discipline, resulting in the provision of aide services without supervision or oversight.

The agency failed to ensure a discharge summary was completed and sent to the physician within 5 business days of the patient's discharge for 2 of 2 (MR# 6 and 7) records reviewed in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's…