Physiocare Home Healthcare LLC

The home health agency failed to evaluate for and/or provide services for assistance with personal care needs for 2 of 2 active records reviewed which evidence a need for home health services to assist the patient with personal care needs (Patients #20, 22).

The skilled professional failed to conduct a thorough and complete ongoing assessment (see Tag G706) and failed to provide services as ordered by the physician on the patient’s plan of care (see Tag G710).

The home health agency failed to conduct exercises to test the emergency plan at least annually, which had the potential to affect all patients and employees.

The home health agency failed to ensure the comprehensive assessment was updated at time of recertification to reflect the patient’s current wound status for 1 of 1 records reviewed of an active patient with a recertification comprehensive assessment (Patient #3).

The home health agency failed to ensure all staff followed agency policies and procedures to prevent the spread of infectious and/or communicable diseases for 5 of 9 home visit observations conducted with 5 of 8 patients ((Patients #1, 2, 3, 4, 5).

The administrator failed to perform all required functions specific to ensuring all home health aides (HHA) had completed mandatory training and were up-to-date on their state certification for 2 of 2 home health aide personnel files reviewed (HHA 1, HHA 2).

The home health agency failed to ensure the plan of care was individualized and included a complete medication list, all required durable medical equipment (DME) and supplies, patient-specific nutritional requirements, and measurable goals for 11 of 11 active records reviewed (Patients #1, 2, 3, 4…

The home health agency failed to ensure all verbal orders received by agency personnel were sent to the ordering advanced care practitioner for authentication for 1 of 1 home visit observations conducted of a patient with whom the agency managed the patient's anticoagulant (blood thinner) testing…

The home health agency failed to notify and coordinate care with the patient’s advanced care practitioner for a newly observed wound nor pain which was not effectively treated in 1 of 1 skilled nurse home visit observations of a patient with multiple wounds (Patient #3) and failed to notify and…

The home health agency's Quality Analysis and Performance Improvement (QAPI) program failed to measure and track performance improvement actions to ensure improvements were sustained, which had the potential to affect all agency patients and employees.

The skilled professional failed to conduct a thorough and complete ongoing assessment for 4 of 6 home visit observations with a skilled professional performing the visit (Patient #1, 3, 4, 5) and 4 of 4 records reviewed of a patient with an active wound (Patients #1, 3, 8, 9).

The skilled professional failed to provide services as ordered by the physician on the patient’s plan of care for 2 of 7 home visit observations of a skilled professional visit with 2 of 6 patients (Patients #5, 22).