Phelps Health Home Health and Hospice

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care, the…

The agency failed to ensure a timely initial assessment and a complete and accurate patient specific comprehensive assessment was completed for each patient.

The agency met the condition of participation when the agency failed to ensure: - A complete plan of care (G574). - Services followed the plan of care as ordered by the physician (G580). - All verbal orders were timed (G584). - Physicians were informed regarding patient's health status that may…

The agency met the condition of participation when the agency failed to ensure: - Skilled professional services were delivered according to the HHA's policies and procedures (G702); - Ongoing interdisciplinary assessment of patients (G706); - Services were provided that are ordered by the physician…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to ensure skilled professional followed accepted standards of practice, including agency policy in two out of seven home visit observations (Patient/Record #3 and #5).

The agency failed to ensure skilled professional services were delivered according to the HHA's policies and procedures in two out of seven home visit observations (Patient/Record #3 and #5).

The agency failed to ensure supervision of skilled professional assistants in one of five records reviewed with skilled professional assistants (Patient/Record #13).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to ensure that the patients were adequately informed about the disciplines that will furnish the care and frequency of clinician visits.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. This deficient practice has the potential to affect the knowledge and comprehension of the rights and responsibilities of all agency patients.

The agency failed to ensure an initial assessment was conducted either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician ordered start of care date in two out of seventeen records sampled (Patient/Record #2 and #11).

The agency failed to ensure patients current health, psychosocial, functional, and cognitive status were assessed in nine out of seventeen records reviewed (Patient/Record #2, #3, #7, #9, #11, #12, #13, #16 and #17).

The agency failed to ensure an accurate and ongoing drug regimen review.

The agency failed to ensure a complete plan of care in eight out of seventeen records sampled (Patient/Record #3,#4, #7, #9, #10, #11, #13 and #16).

The agency failed to ensure services followed the plan of care as ordered by the physician. in three out of seventeen records reviewed (Patient/Records #5, #8 and #13).

The agency failed to ensure all verbal orders were timed.

The agency failed to ensure physicians were informed regarding patient's health status that may suggest a need to alter the plan of care in four out of seventeen records reviewed (Patient/Record #10, #11, #13, and #16).

The agency failed to ensure an accurate visit schedule, including ensuring documentation of the planned frequency of visits by agency personnel, was being maintained in the patient's home in six out of seven home visit observations (patient/Record #1, #2, #3, #4, #6 and #7).

The agency failed to ensure an accurate patient medication schedule/instructions, including: medication name, dosage and frequency was available in the patients' home in five out of seven home visit observations (patient/Record #1, #3, #4, #6, and #7).

The agency failed to ensure therapy treatments were provided to the patient in writing in one of seven home visit observations (Patient/Record #2).

The agency failed to ensure ongoing interdisciplinary assessment of the patient in nine out of seventeen records sampled.

The agency failed to ensure services were provided that are ordered by the physician as indicated in the plan of care in four out of seventeen sampled records (Patient/Record #1, #3, #13, and #17).

The agency failed to ensure effective teaching to patients in five out of seventeen sampled records.

The agency failed to ensure patient and caregiver education regarding discharge planning in one out of two records reviewed for discharge planning (Patient/Record #13).

The agency failed to ensure the registered nurse (RN) observed the home health aide perform all tasks required in one home health aide (Employee #5) of one applicable case.

The agency failed to ensure the home health aide performed duties as assigned by the registered nurse in two out of two sampled home health aide records (Patient/Records #6 and #13).

The agency failed to ensure a registered nurse (RN) made an onsite visit to the patient's home no less frequently than every 14 days for supervision of the home health aide in one of two records sampled for aide services (Patient/Record #13).

The agency administrator is effective in the day-to-day supervision of the agency.

The agency failed to have contracts that specified how agency supervision of the contracted therapist would occur.

The agency failed to meet applicable Missouri state law, failed to ensure contracted therapy staff submitted a criminal disclosure statement as required in 192.2495.5, RSMo.

He/she stated that evidence/confirmation that a transfer and discharge was sent to the physician was not started as an agency practice until August 2018. PATIENT/RECORD #14: The clinical record showed a "discharge/Transfer Summary" with a discharge date of 05/23/18. Review of "HH Agency Discharge"…