Pulaski County Health Dept

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care, the following information listed as patient rights to include: - If a…

The agency failed to meet the requirements for the Condition of Participation: Care Planning, Coordination of Services, and Quality of Care, when the agency failed to: - Develop a plan of care that addressed patient needs as identified during the comprehensive assessment (G572); - Establish an…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include if a patient has been adjudged to lack capacity to make health care decisions as established by state law by a court of proper…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in plain language and in a manner that is accessible and timely to (1) Persons with…

The agency failed to develop a plan of care that addressed patient needs as identified during the comprehensive assessment in one (Record/Patient #5 ) of six records reviewed.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be free from verbal, mental, sexual, and physical abuse, including injuries of unknown source, neglect and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights regarding expected outcomes of care, including patient-identified goals, and anticipated risks and benefits; and any factors…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to receive all services outlined in the plan of care.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the right to have a confidential clinical record; and access to or release of patient information and clinical records is permitted in…

The agency failed to: - Update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the right that the agency must advise the patient and representative of these (financial liability) changes as soon as possible, in…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the right to be informed of access auxiliary aids and language services, and how to access these services.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and/or misappropriation of…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the home health agency (HHA) must take action to prevent further potential violations, including retaliation, while the complaint…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include any home health agency (HHA) staff (whether employed directly or under arrangement) in the normal course of providing services to…

The agency failed to: - Establish an individualized plan of care that included a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors in, but not limited to three (Records/Patients #2, #3…

The agency failed to: - Ensure drugs and treatments were administered only as ordered by a physician in, but not limited to, one (Record/Patient #1) of six cases reviewed; and - Ensure services followed the plan of care as ordered by the physician in, but not limited to four (Records/Patients #3…

The agency failed to ensure all verbal orders were timed in six (Records/Patients #1, #2, #3, #4, #5 and #6) of six records reviewed.

The agency failed to alert the physician to a change in the patient's condition in, but not limited to, one (Record/Patient #3) of six cases reviewed.

The agency failed to provide the patient and/or caregiver a copy of written instructions outlining the visit schedule, including frequency of visits by agency personnel in, but not limited to one (Records/Patients #1) of two home visits conducted.

The agency failed to ensure that the agency staff evaluated the aide for all of the required elements during the aide supervisory visits in one (Record/Patient # 1) of one record reviewed that received aide services.

The agency failed to include Missouri Case Law in the advance directive information given to patients as required in 42 CFR 489.102 (a)(1)(i), in, but not limited to, two (Records/Patients #1 and #2) of six cases reviewed; and failed to ensure staff used appropriate bag technique during home visits…

The agency failed to ensure that the clinical record contained documentation for all of the interventions/treatments ordered on the plan of care in, but not limited to, two (Records/Patients #4 and #5) of six records reviewed.

The agency failed to ensure the discharge summary was sent to the physician within five business days of discharge in one (Records/Patient #1) of one applicable case reviewed where a discharge occurred after 1/13/18 when the new federal regulations became effective.