Prohealth Home Care, Inc

The agency failed to ensure that their patient received home health services in accordance with the written individualized plan of care (POC) when staff did not reschedule a therapy missed visit for one out of 17 sampled patients (Patient 1).

The home health agency (HHA) failed to ensure clinical records were completed timely for one out of 17 sampled patients (Patient 4).

The agency failed to ensure services and treatments were administered only as ordered by a physician or allowed practitioner for one out of 17 sampled patients (Patient 5).

The agency did not ensure home health aide supervisory visits were completed within the required 14‑day timeframe for two of 17 sampled patients (Patient 12 and Patient 16).

The home health agency (HHA) failed to ensure discharge summaries were sent to their primary care practitioner (PCP) within 5 business days of their discharge from the agency and clinical records were completed timely for three out of 17 sampled patients (Patient 7, Patient 5, and Patient 3).

The Home Health Agency (HHA) failed to ensure the health and safety for one of three sampled patients were maintained, when the services were not performed as ordered by the physician and as documented in Patient 1’s Plan of Care (POC), which resulted in patient not receiving visits as ordered by…

The Home Health Agency (HHA) failed to ensure Skilled Nursing (SN) services for one of three sampled patients (Patient 1) were furnished in accordance with the plan of care and as ordered by patient’s physician (G 710), failed to coordinate services and communicate with all physicians involved in…

The Home Health Agency (HHA) failed to follow the written plan of care (POC) for one of three sampled patients (Patient 1).

The home health agency (HHA) failed to communicate patient’s discharge from the services to patient’s authorized representative (AR, a person responsible for making decisions on behalf of the patient) for one of three sampled patients (Patient 1).

The agency failed to ensure physician’s orders for catheter (drains urine from your bladder into a bag outside your body) care were followed for one of three sampled patients (Patient 1) when the patient did not receive catheter care every week as documented in his Plan of Care (POC).

The agency failed to assure clinicians communicated and coordinated the plan of care (POC) with the physician for one of three sampled patients (Patient 1), when the agency did not report to Patient 1’s physician that weekly catheter care was not completed as ordered and failed to coordinate with…

The agency failed to furnish skilled nursing (SN) services under the supervision of a Registered Nurse (RN) to ensure quality of care was provided for one of three sampled patients (Patient 1) and the care provided by licensed vocational nurse (LVN) SN 2 was not supervised by RN when Patient 1 had…

The agency failed to revise one of 18 sampled patients (Patient 9's) care plan for home health aide (HHA) services when the patient's care needs had changed.

The agency failed to ensure one of 18 sampled patients (Patient 9) was assessed for her immediate care and support needs when the Start of Care (SOC) date was delayed for three weeks from the initial referral date.

The agency failed to ensure the initial assessment was performed within 48 hours of referral by a skilled professional (Physical Therapist- PT) for one of 18 sampled patients (Patient 10).

The Home Health Agency (HHA) failed to notify the physician of missed visits for two of 18 (Patient 6 and Patient 18) sampled patients.

The agency failed to ensure a home health aide supervisory visit was conducted within the 14-day timeframe for one of 18 (Patient 11) sampled patients.

The agency failed to maintain accurate and complete clinical records for two of 18 sampled patients (Patient 9 and Patient 5) when: 1. Inaccurate information was recorded for Patient 9, and 2. Care related email communications were not included in Patient 5's clinical record.

The agency failed to ensure the Plan of Care (POC) contained the services ordered by the referring physician for one of 3 sampled patients (Patient 1) when an order for Home Health (HH) Aide was not included.

The agency failed to ensure the physician was notified of changes in the plan of care when services ordered for Home Health (HH) Aide were not provided as ordered for 19 days for one of 3 sampled patients (Patient 1).

The agency failed to ensure care coordination notes were documented in a timely manner for one of 3 sampled patients (Patient 1) when notes were entered late.

The agency failed to ensure the physician was notified of missed visits for one of 5 sampled patients (Patient 1) when there was no documented evidence the visits were made.

The agency failed to initiate care within 48 hours of a patient's referral or discharge from the hospital for 2 of 5 sampled patients (Patient 2 and Patient 3) as required by the regulations.

The agency failed to notify the physician of delay in care for 2 of 5 sampled patients (Patient 2 and Patient 3 ) when there was no documented evidence of physician notification.

The agency failed to ensure medication regimen was accurate for 2 of 17 sampled patients (Patient 7 and Patient 10), when the agency's list did not match the patient's medications during a home visit.

The agency failed to ensure an assessment was completed on discharge for one of 17 sampled patients (Patient 1).

The agency failed to ensure the physician was notified when home visits were not completed as ordered by the physician for two of 17 sampled patients (Patient 1 and Patient 11).

The agency failed to ensure the staff submitted their visit notes in the clinical records in a timely manner for one of 17 sampled patients (Patient 11).