Prohealth Home Care, Inc.

The agency failed to ensure the comprehensive assessment accurately reflected Patient 4’s continuing need for home health benefit.

The Agency’s licensed nursing staff did not provide education to patient and his or her caregiver(s) of disease process for one of 10 sampled patients (Patient 8) when Patient 8 had symptoms of urinary tract infection.

The Home Health Agency did not maintain complete clinical records for 3 of 10 sampled patients (Patients 2, 6, and 7).

The home health agency’s licensed staff did not update the plan of care to ensure established healthcare goals were met for 4 of 8 sampled patients (Patients 3, 6, 7 and 8).

The home health agency’s licensed nursing staff did not provide the number of visits as ordered by the doctor for one of 10 sampled patients (Patient 3).

The home health agency (HHA) failed to meet the Condition of Participation for Care Planning, Coordination of Services, and Quality of Care when the agency licensed nursing staff did not follow the plan of care or notify the physician for changes in conditions.Refer to deficiencies G572, G588, G590…

The home health agency did not provide services as outlined in the plan of care for seven of 13 sampled patients (Patients 1, 3, 5, 6,10,11 and 12).

The agency failed to follow the requirements by the California Department of Public Health (CDPH) for vaccine requirement and testing for COVID-19. This deficient practice had the potential to infect vulnerable patients with the virus causing severe illness and possible death.

The home health agency failed to ensure that six patients (Patients 3, 5, 6, 10, 11, and 12), out of 13 patients sampled, received nursing visits as ordered in the plan of care.

The agency failed to ensure clinical staff conducted a current review of all medications the patient was currently using for two, Resident 4 and Resident 5, of 13 sampled patients.

The home health agency’s licensed staff did not update the plan of care for seven of 13 sampled patients (Patients 1,3, 5, 6, 10, 11 and 12).

The home health agency’s licensed staff did not notify the doctor of a change of condition for three of 13 sampled patients (Patient 1, 3 and 6).

The home health agency failed to review Provider Orders for Life Sustaining Treatment (POLST- a portable medical order form that records patients' treatment wishes) for two (Patient 1 and 2) of 14 sampled patients.

The Home Health Agency failed to provide a clear and accurate documentation of allergies to medications for one (Patient 2) of 14 sampled patients.

The home health agency failed to ensure medication regimen review was conducted during initial assessment for one (Patient 1) of ten sampled patients, when medication review did not include review of expiration date.

The agency failed to notify the physician regarding the plan of care not being met for four of 14 sample patients (8, 6, 3 and 13) when the physician was not notified of missed skilled nursing visits.