Prime Homecare Agency

The agency failed to ensure that services were provided at the ordered frequency and as ordered in the Plan of Care for 1 (P-1) patient who required Occupational Therapy, Medical social work and speech Therapy services, from a total of 13 sampled records reviewed, resulting in the potential for…

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 1 (P-3) record in which Home Health Aide services were ordered, from a total of 13 sampled records…

The agency failed to conduct the initial assessment visit within 48 hours of the referral, resulting in a delay of the patient's home health care needs in 1 of 15 records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 2 (P-10, P-6) of 13 records reviewed, resulting in either no clinical information or incorrect clinical information necessary to determine the needs of this patient.

The agency failed to ensure that activity of daily living needs were adequately met in the patient's home for 1 (P-1) patient who required assistance with grooming, from a total of 13 sampled records reviewed, resulting in the potential for poor grooming, psychological decline and unmet care needs.

The agency failed to ensure the plan of care included parameters to notify the physician for 1 (P-10) of 13 records reviewed, resulting in no assurance the physician is notified of excessive pain ratings.

The agency failed to ensure the Physician was promptly notified of 2 (P-1, P-4) patients who experienced a significant change in condition with resultant hospitalization, from a total of 13 sampled records reviewed, resulting in lack of continuity of care and the potential for unmet care needs.…

The agency failed to ensure skilled professionals provided services as ordered by the physician in the plan of care for 1 (P-10) of 13 records reviewed, resulting in the potential for a poor outcome for this patient.

The agency failed to ensure its skilled disciplines conducted the required Home Health Aide supervisory visits at least every 14 days to ensure the adequate provision of care and services for 1 (P-3) patient ordered to receive Aide services, from a total of 13 sampled records reviewed, resulting in…

The agency failed to ensure the medical record contained all clinical notes for 1 (P-11) of 13 records reviewed, resulting in a lack of information for the physician and all agency staff caring for this patient.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and included the events leading to the need for home care services in 8 (MR’s #5, 4, 1, 2, 10, 11, 12, 14) of 8 records, from a total of 17 sampled records reviewed, resulting in…

The Agency failed to ensure Skilled Nursing adequately assessed and monitored the needs of the patient in 1 of 2 records (MR #10) reviewed with heart failure, out of a total sample of 17 records, resulting in the potential for a poor outcome.

The Agency failed to ensure the Comprehensive Assessment was updated and accurately reflected the patient's health status upon Resumption of Care for 1 (MR #5) of 1 patient who returned to the agency's services, following hospitalization, with multiple wounds and difficulty swallowing, from a total…

The Agency failed to ensure Occupational Therapy services were provided as ordered by the physician for 2 (MR#'s 10, 12) of 13 records reviewed with Occupational Therapy from a total sample of 17 records reviewed, resulting in a lack of services and the potential for poor patient outcomes for this…

The Agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control of infectious and communicable diseases including Covid-19 as an integral part of the agency's quality assessment and performance improvement program, and failed to utilize a…

The Agency failed to ensure Skilled Nursing adequately assessed and monitored the needs of the patient in 1 of 2 records (MR #10) reviewed with heart failure, out of a total sample of 17 records, resulting in the potential for a poor outcome.

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 5 (MR#'s 3, 5, 8, 9 and 10) of 7 records in which Home Health Aide services were ordered, from a…

The Agency failed to ensure that 1 (MR #5) of 1 patient observed during a home visit, who required assistance with grooming, was included in the overall planning of care including informing the patient/caregiver in advance of the days in which Home Health Aide services would be provided, from a…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and included the events leading to the need for home care services in 8 (MR’s #5, 4, 1, 2, 10, 11, 12, 14) of 8 records, from a total of 17 sampled records reviewed, resulting in…

The Agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 2 (MR #5, 7) of 7 patients assessed as needing assistance with ADLs; and failed to ensure that 1 (MR #7) of 3 patient's Medical Social Work needs were met, resulting in the…

The Agency failed to ensure the Comprehensive Assessment included an accurate review of all medications to determine any adverse effects and failed to ensure the Physician was notified of potential drug interactions in 5 (MR's #2, 3, 4, 6 and 9) of 9 records reviewed, from a total of 17 sampled…

The Agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters and objectively measurable goals specific to the needs of the patient for 5 (MR's #5, 10, 11, 12, 14) of 5 records reviewed in which skilled nursing was ordered, from a total sample of 17…

The Agency failed to ensure the Skilled Nurse updated/revised the Plan of care in 1 (MR #5) of 2 records of patients who were transferred to an inpatient and resumed care under the Agency's services with a change in health condition, resulting in the patient not receiving care and services specific…

The Agency failed to ensure the registered nurse performed complete assessments and reassessments of the patient's health status and needs in 2 (MR's #8 and 10) of 2 records of patients with diagnoses of Congestive Heart Failure, and 1 (MR #4) of 1 patient who had a fall with fracture and resultant…

The Agency failed to ensure the clinical record was completed and included detailed Skilled Nursing notes for 1 (MR #5) of 1 admitted with skin issues, required a transfer with resultant hospitalization and resumed care post hospitalization with pressure sores and difficulty swallowing, from a…

The agency failed to ensure that a transfer summary was completed and sent to the receiving facility for 1 (MR #5) of 2 patients who were transferred to an inpatient facility and required hospitalization, from a total of 17 records reviewed, resulting in lack of continuity of care and the potential…

The agency nurse failed to reassess the patient after collecting a urine sample for testing related to a possible urinary tract infection in 1 of 4 records reviewed out of a total sample of 4 records reviewed (MR #1), resulting the possible failure to treat a patient with a urinary tract infection…

The agency nurse failed to reassess the patient after collecting a urine sample for testing related to a possible urinary tract infection in 1 of 4 records reviewed out of a total sample of 4 records reviewed (MR #1), resulting the possible failure to treat a patient with a urinary tract infection…

The home health agency failed to develop emergency preparedness policies and procedures, based on their emergency plan and their risk assessment, for a potential of unsafe patients and unprepared staff during an emergency situation.

"We were not putting the emergency plans in the patient records before November 15th of last year.

The home health agency failed to provide all staff, including contract staff with an initial training of their Emergency Preparedness (EP) plan, the policies and procedures for the EP plan, testing of the staff's knowledge of the emergency preparedness training and maintain documentation of that…

The agency failed to provide documented evidence of testing of the agency's emergency preparedness plan for 2018, the annual tabletop exercise and a community based full-scale exercise or an individual facility based exercise that would qualify as a test of the emergency plan, for a potential of…

The Registered Nurse (RN) failed to prepare clearly written patient care instructions and include safety precautions on the aide's care plan in 8 of 8 records in which Home Health Aide (HHa) services were provided (M.R. # 1, 2, 3, 8, 9, 10, 16, and 17) out of a total sample of 17 records reviewed…

The agency failed to inform the patient in advance of the disciplines that will furnish care and the proposed visit frequency in 8 of 17 records reviewed (MR#1, 2, 3, 4, 5, 10, 12 and 15) from a total sample of 17 records reviewed, resulting in the patient not having knowledge of the plan for…

The HHA (Home Health Agency) failed to advise their patients that the purpose of the state of Michigan toll free home health hot line telephone number was also used to receive questions about local HHAs for 17 of 17 active patients (M.R. #1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16 and 17), patients not…

The registered nurse failed to ensure the plan of care included safety precautions in 6 of 17 records reviewed (MR#s 1, 2, 3, 4, 7 and 15) out of a total sample of 17 records reviewed, resulting in a potential for unmet goals, outcomes, and medical needs identified by the patient and nurse at the…

The agency failed to ensure the registered nurse performed complete assessments and re-assessments of the patient's health status including wound care appearance and weight in 4 of 14 records reviewed in which nursing services were provided out of a total sample of 17 records reviewed (MR# 1, 2, 9…

The agency failed to ensure services were provided as ordered in the plan of care in 4 of 17 records reviewed out of a total sample of 17 records reviewed (MR #1, 2, 3 and 9), resulting in the potential for negative patient outcomes for patients.

It was noted that the agency failed to ensure the aides provided and documented services provided were in compliance with the Aide Plan of Care in 4 of 8 records in which the patient received home health aide services out of a total sample of 17 records reviewed (MR #2, #3, #8 and #9 ), resulting…

It was noted that the agency failed to ensure the aide accurately document services provided in 1 of 2 records in which the patient received surveyor observation of home health aide services out of a total sample of 8 records reviewed in which the patient received aide services (MR #2), resulting…