Preference Health Services Inc

The home health agency failed to ensure the patient received all services as written and had an individualized plan of care in 3 of 4 active skilled clinical records reviewed (Patient #1, Patient #2, Patient #6) Findings include: 1. Clinical Record for Patient #2, included the recertification…

The home health agency failed to ensure the Quality Assurance and Performance Improvement (QAPI) program utilized quality indicator data from the Outcome and Assessment Information Set (OASIS) (a comprehensive assessment data collection tool) in 1 of 1 agency.

The home health agency failed to ensure patient medications were reviewed in order to identify potential adverse effects, significant side effects and duplicate drug therapy and include frequency of medication in 2 of 2 skilled home visits completed (Patient #1, Patient #2) and in 1 of 1 active…

The home health agency failed to ensure the plan of care included safety precautions to prevent patient injury in 1 of 1 active clinical records reviewed with oxygen therapy (Patient #5).

The home health agency Administrator failed to ensure the OASIS (Outcome and Assessment Information Set, a comprehensive assessment data collection tool) information was electronically transmitted to CMS (Centers for Medicare and Medicaid Services) system in 1 of 1 agency after 06/27/2024. Findings…

The home health aide (HHA 3) failed to wear a mask while providing patient care in 1 of 3 home visits and failed to practice hand hygiene and gloving as part of infection control practices in 2 of 3 home visits.

The agency failed to ensure all patients were notified in writing of the extent to which payment was expected from Medicaid, any out-of-pocket costs to the patient, or any charges the patient must pay for 1 of 6 active records reviewed.

The agency failed to ensure all patients received a comprehensive assessment that included the patient’s current health status, past medical history, and active health and medical problems, including the patient’s accurate health, psychosocial, functional, and cognitive status at the time of…

The agency failed to ensure all patients received an accurate comprehensive assessment that included the patient’s goals and care preferences, for 1 of 6 active records reviewed.

The agency failed to ensure all patients received an accurate comprehensive assessment that included the patient’s medical, nursing, rehabilitative, and discharge planning needs, for 1 of 6 active records reviewed.

The agency failed to ensure the plans of care included the patient’s rehabilitation potential, functional limitations, safety measures, and pertinent interventions and patient-specific, measurable outcomes and goals, for 1 of 6 active records reviewed.

The home health agency failed to report any OASIS data for 2017 - 9/2018 (see below tag) in 6 of 6 clinical records reviewed (#1, #2, #3, #4, #5, #6) of skilled services in a sample of 7 (See G370) and failed to ensure OASIS assessment data was submitted to the Centers of Medicare and Medicaid…

The home health agency failed to ensure: the medical plan of care established by the physician was followed (see tag G0572), all services and treatments were administered only as ordered by a physician (see tag G0580), the primary physician reviewed and signed the plan of care (see tag G0588)…

The home health agency failed to ensure: all home health aides successfully completed a competency evaluation program (see tag G0768), all home health aides had and followed an aide care plan established by the registered nurse (see tag G0798), the home health aide provided services that were…

The home health agency failed to ensure: all comprehensive assessments, plans of care, and physician orders were included in the patients clinical record (see tag G1012), all discharge/transfer summaries were sent to the physician and/or transfer facility (see tag G1022), and all clinical records…

The home health agency failed to ensure OASIS assessment data was submitted to the Centers of Medicare and Medicaid within 30 days of completing the assessment for 6 of 6 skilled records reviewed which had the potential to affect all patients receiving skilled services within the agency (# 1-6) in…

The home health agency failed to ensure the medical plan of care established by the physician in 3 of 7 patients with skilled nursing and 4 of 7 patients with home health aide services was followed.

The home health agency failed to complete and transmit all OASIS data which resulted in the agency not having sufficient data collected to incorporate into their quality assessment performance improvement program in 1 of 1 home health agency.

The home health agency failed to ensure all employees practiced standard precautions and infection control procedures in 2 of 3 home visits conducted (employees F, G) The findings include: 1. The undated agency policy titled "Universal Precautions For All Health Care Workers" stated "... All…

The home health agency failed to ensure all home health aides successfully completed a competency evaluation program in 2 of 14 home health aide personnel records reviewed.

The agency failed to ensure all home health aides had and followed an aide care plan established by the registered nurse in 6 of 7 clinical records reviewed with home health aide services.

The home health agency failed to ensure all records were appropriately authenticated, dated and timed in 5 of 7 clinical records reviewed.

The home health agency failed to ensure all patients/ patient caregivers were informed of any changes in the plan of care, that the changes in the plan of care were acknowledged by the patient/ patient caregiver, and documented in the clinical record in 1 of 3 patients/ patient caregivers…

The home health agency failed to ensure the patient was provided a written discharge notice in advance prior to services being discharged from the agency in 2 of 2 discharged patients.

The home health agency failed to ensure all patients/patient caregivers were aware of how to contact the Indiana State Department of Health Home Hotline number to file a complaint in 2 of 3 patient's interviewed.

The home health agency failed to complete a resumption of care/ comprehensive assessment within 48 hours of a patient's return home from the hospital in 1 of 1 clinical records reviewed for patient hospitalization in a total sample of 7 records reviewed.

The home health agency failed to perform an OASIS comprehensive assessment at a patient's discharge in 1 of 2 clinical discharge records reviewed.

The home health agency failed to ensure all services and treatments were administered only as ordered by a physician in 2 of 7 clinical records reviewed.

The home health agency failed to ensure the primary physician reviewed and signed the plan of care in 4 of 7 clinical records reviewed.

The home health agency failed to ensure agency personnel notified the physician of a change in the patient's physical or mental condition in 2 of 7 clinical records reviewed (#3, #5).

The home health agency failed to ensure the primary physician was notified of the patient's pending discharge in 2 of 2 patient's discharge records reviewed.

The home health agency failed to coordinate care amongst all healthcare entities that provided care to agency patients in 2 of 2 patient's that received services from outside healthcare entities in a total patient sample of 7. (#1, #5) The findings include: 1. The undated agency policy titled…

The home health agency failed to ensure all patients/ patient caregivers were aware of their scheduled visits in 1 of 3 patients interviewed.

The skilled nurse failed to provide care and services as ordered per the plan of care for 3 of 7 records reviewed.

The home health agency failed to ensure the home health aide provided services that were included in the plan of care and permitted to be performed under state law in 4 of 7 patients with home health aide services.

The home health aide failed to ensure changes observed in the patient's conditions and needs was reported to the supervisory nurse in 1 of 7 clinical records reviewed.

The home health agency failed to ensure the skilled nurse supervised the home health aide every 14 days and during a home visit in 3 of 7 clinical records reviewed.

The Registered Nurse failed to ensure the home health aide followed the nursing plan of care during supervisory visits in 5 of 7 clinical records reviewed.

The administrator failed to ensure they were responsible for all the day-to-day operations of the home health agency in 1 of 1 home health agency.

The clinical manager failed to coordinate care amongst all healthcare entities that provided care to agency patients in 2 of 2 patient's that received services from outside healthcare entities in a total patient sample of 7. (#1, #5) The findings include: 1. The undated agency policy titled…

The home health agency failed to ensure all comprehensive assessments, plans of care, and physician orders were included in the patient's clinical record in 6 of 7 clinical records reviewed.

The home health agency failed to ensure discharge/ transfer summaries were sent to the physician and/ or transfer facility in 2 of 2 patients transferred/ discharged.