Premier Home Health & Hospice Inc

The agency failed to ensure Patient 15 and Patient 17 were assessed within 48 hours of referral (G514); failed to ensure a skilled professional completed assessments for Patient 6 and Patient 13 (G516); failed to ensure there was a Physical Therapist professional to provide oversight for physical…

The Home Health Agency (HHA) failed to provide skilled professional oversight for Patient 6 (G704); failed to ensure there was an ongoing assessment for Patient 10 (G706); failed to ensure rehabilitation services ordered by a physician were completed in a timely manner for Patient 15, Patient 12…

The agency failed to perform an initial assessment for 2 of 18 patients (Patient 6 and Patient 13).

The agency failed to ensure an individualized written Plan of Care (POC) was developed in consultation with the agency's clinicians to cover all pertinent diagnoses and physician's orders and to specify the care and treatments necessary to meet the patient-specific needs for two of 18 sampled…

The agency failed to provide skilled professional oversight for 2 of 18 patients (Patient 6 and Patient 13).

The agency failed to provide skilled professional assistant oversight for 1 of 18 patients (Patient 6).

The agency failed to renew and/or obtain a laboratory waiver before performing laboratory tests for their patients for a census of 36. Findings: During an entrance conference interview on 4/16/19 at 9:50 a.m., the Administrator (ADM) was asked if the agency staff performed the laboratory tests for…

The agency failed to ensure 2 of 18 sampled patients (Patient 15 and Patient 17) initial assessment visits were done within 48 hours of referral.

The facility failed to perform an initial assessment for two of 18 patients (Patient 6 and 13).

The agency failed to ensure the Administrator hired or contracted Physical Therapy (PT) services to meet the patients needs.

The agency failed to determine if services were medically necessary and communicate their assessment to the physician for 1 of 18 sampled patients (Patient 2) when she required no skilled services.

The agency failed to include a complete and accurate medication profile for three of 18 sampled patients (Patient 3, 4, and 13) when: 1. Patient 3's medication profile was not updated to reflect the new medications she started taking after her recent hospitalization; 2. Patient 4's medication…

The agency failed to ensure services and treatments provided were ordered by the physician for one of 18 sampled patients (Patient 13) when he received Physical Therapy (PT) services without physician's orders.

The agency failed to ensure there was an ongoing assessment for 1 of 18 sampled patients (Patient 10) when the need to continue with Physical Therapy (PT) services was not completed.

The agency failed to ensure Physical Therapy (PT) services ordered by a physician and included in the Plan of Care (POC) was completed in a timely manner for 4 of 18 sampled patients (Patient 15 and Patient 18, Patient 12 and Patient 6).

The agency failed to ensure an individualized written Plan of Care (POC) which included patient and/or caregiver education was developed for one of 18 sampled patients (Patient 13).

The agency failed to ensure clinical notes for the care provided were completed for 4 of 18 sampled patients (Patient 5, 10, 16 and 18).

The agency failed to ensure the Administrator hired or contracted Physical Therapy (PT) services to meet the patients needs after the resignation of the agency Physical Therapist.

The agency failed to ensure clinical records were complete and accurate for 7 of 18 sampled patients ( Patient 5, 10, 16, 17,18, 13 and 6).