Provident Home Healthcare

The agency failed to inform the patient’s representative of changes in care for 1 of 3 patients (P1) when the patient was sent to the hospital.

The agency failed to report injuries of unknown origin to the State Agency (SA) immediately for 2 of 3 (P1 and P2) were reviewed for abuse.

The facility failed to identify patient-specific measurable outcomes and goals for a pulse oximeter and ensure the agency house camera was operable for 1 of 3 patients reviewed.

The agency failed to investigate an allegation of staff to patient verbal abuse and a patient grievance of care for 2 of 4 patients (P3 and P4)) reviewed for patient rights.

The agency failed to have systems in place to ensure patient protections for 2 of 4 patients (P3 and P4) reviewed following an allegation of verbal abuse.

The agency failed to report an allegation of staff to client verbal abuse to the state agency (SA) for 1 of 4 patients reviewed for patient rights.

The home health agency (HHA) failed to meet the Condition of Participation 484.60, Care Plan, Coordination of Services, and Quality of Care.

The agency failed to ensure the plan of care was followed for 1 of 2 patients (P1) resulting in P1 being left unattended in the home when P1 required up to 24-hour complex nursing care.

The home health agency (HHA) failed to meet the Condition of Participation at 484.70 Infection Prevention and Control.

The agency failed to ensure 100% of staff had been vaccinated for COVID-19, 60 of 302 staff had not been vaccinated for a vaccination rate of 80.1%. In addition, the agency failed to develop a process for ensuring the implementation of additional precautions, intended to mitigate the transmission…

The agency failed to inform the physician of services that were not provided for 1 of 3 patients (P1) reviewed for care planning, coordination and quality of care.

The home health agency (HHA) failed to notify the physician timely for 1 of 2 patients (P2) who sustained a burn to the right shin reviewed for patient rights.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The home health agency (HHA) failed to meet the Condition of Participation at 484.60, Care Planning, Coordination of Services, and Quality of Care.

The home health agency (HHA) failed to ensure 1 of 4 patients (P1) was free from neglect of care when staff placed a space heater close to P1's hand resulting in a burn and subsequent hospitalization to a burn unit.

The agency failed to ensure 4 of 4 patients (P1, P2, P3, P4) whose physician order, plan of care (POC) were reviewed, included the use of space heaters for patients.

The home health agency (HHA) failed to notify the physician timely resulting in delayed treatment for 1 of 3 patients (P1) who sustained a burn to the left hand and was admitted to the hospital burn unit for treatment.

The agency failed to ensure medication administration was performed correctly for 1 of 3 patients (P1) who received medications at the wrong time resulting in significant adverse reaction.

The home health agency (HHA) failed to immediately report an incident of a medication error for 1 of 3 patients (P1) to the State Agency (SA) and designated agency personnel reviewed for medication errors.

The home health agency (HHA) failed to ensure medication administration was performed correctly for 1 of 3 patients (P1) when a licensed practical nurse (LPN) administered medications preset up by family, approximately 12 hours prior to scheduled dose time, resulting in significant adverse reaction…

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The home health agency (HHA) failed to ensure provision of 24 hour awake care and treatment for 1 of 1 patient (P1).

The home health agency (HHA) failed to meet the Condition of Participation at 484.70, Infection Prevention and Control.

The agency failed to implement appropriate infection control practices related to COVID-19 in relation to conducting health screenings for all who entered the office and health screening for Healthcare Worker (HCW's) prior to visits.

The agency failed to implement ongoing surveillance for 1 of 3 patients (P3)and for 4 of 4 staff related to monitoring of COVID-19 symptoms reviewed during the COVID-19 agency surveillance.

The agency failed to notify the provider of a change in condition related to Covid-19 symptoms for 1 of 3 patients (P3) reviewed during the survey.

The home health agency (HHA) failed to meet the Condition of Participation at 484.75 Skilled Professional Services.

The home health agency (HHA) failed to ensure treatment and services were provided as ordered by the physician and indicated in the plan of care for 1 of 3 patients (P20) reviewed who utilized a ventilator (a machine to assist with breathing).

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The home health agency (HHA) failed to ensure treatment and services were provided appropriately for 4 of 5 patients (P1, P2, P3, P5) reviewed for care.

The home health agency (HHA) failed to properly investigate and respond to patient complaints of neglect of care related to a nurse sleeping during the provision of 24 hour awake care for 2 of 2 patients (P2, P3) reviewed who required 24 hour awake care.