Purple Heart Home Health Care

The agency failed to include delegations of authority and succession plans in the event of an emergency/disaster (See E0007); failed to incorporate an individual Emergency Preparedness Plan into the Comprehensive Patient Assessment as required (See E0017); failed to incorporate the use of…

The agency failed to ensure the plan of care included interventions, safety precautions, and patient specific measurable goals (G574); failed to ensure that all services were provided only as ordered by the Physician (G580); failed to ensure Physician's orders were signed, authenticated and dated…

The agency failed to include delegations of authority and succession plans in the event of an emergency, resulting in the potential to hinder the agency's ability to provide continued patient care to all 8 patients currently receiving services.

The agency failed to incorporate an individual Emergency Preparedness Plan into the Comprehensive Patient Assessment for 2 (P-5, P-7) of 7 records reviewed for Emergency Preparedness, from a total sample of 7 records reviewed, resulting in the potential for negative patient outcomes in the event of…

The agency failed to develop an Emergency Preparedness Plan that included policy and procedure concerning the use of volunteers, as appropriate, and/or other emergency staffing strategies to address surge staffing needs experienced during an emergency, resulting in the potential for the…

The agency failed to develop and maintain an Emergency Preparedness communication plan that integrated specific roles, tasks and responsibilities of its staff in the event of an actual emergency, resulting in the agency's inability to ensure the coordination of patient care during an…

The agency failed to provide an alternate means of communicating with its staff, Federal, State, and local emergency management agencies in the event of an actual emergency/disaster, resulting in the potential to negatively affect the safety and well-being of all 8 patients currently receiving…

The agency failed to provide initial training in its Emergency Preparedness (EP) policies and procedures for 3 of 3 contracted employees, resulting in the potential for inappropriate, unprepared responses to emergencies and interruption in the provision of needed patient care and services.

The agency failed to provide documentation for the required community/facility based full-scale exercises and tabletop exercises, and failed to provide documentation of an actual event that would qualify as a test of the emergency plan, resulting in staff being unprepared in the event of an actual…

The agency failed to utilize collected data concerning known patient infections to identify potential causative factors, track and trend data collected, and establish a corrective plan which would be monitored for its effectiveness as part of the agency's Quality Assessment Performance Improvement…

The agency failed to ensure Skilled Nursing (SN) had performed all clinical assessments appropriately in 1 (P-4) of 3 observed home visits, resulting in incomplete clinical information to aid in determining the clinical needs of this patient and the potential for a poor outcome.

The agency failed to ensure the individuals who furnished Home Health Aide services on its behalf, met the competency evaluation requirements of this section by ensuring the subject areas specified under paragraphs (b)(3)(i), (iii), (ix), (x), and (xi) of this section were evaluated by a Registered…

The agency failed to ensure the skilled discipline made an annual onsite observation visit at a patient's residence to observe the care being provided, by 1 (HHa #1) of 1 Home Health Aide employed by this agency, who's file reviewed, resulting in the potential for the provision of substandard care…

The agency failed to ensure that 1 (P-4) of 3 home visit records reviewed out of a total of 7 records reviewed, were provided advance notice of which disciplines would furnish care and the visit frequency expected from each discipline, resulting in a lack of inclusion in planning, lack of informed…

The agency failed to provide skilled services as ordered on the Plan of Care (POC) for 1 (P-4) of 7 total sample records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to conduct the initial assessment visit within 48 hours of the referral date or within 48 hours of the patient's return home from an inpatient hospitalization in 1 (P-1) of 7 records reviewed.

The agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 2 (P-6, P-7) of 2 patients assessed as needing assistance with grooming, from a total of 7 sampled records reviewed, resulting in the potential for poor hygiene, psychological…

The agency failed to ensure the plan of care included interventions, safety precautions, and patient specific measurable goals in 5 (P-1, P-2, P-3, P-4, and P-7,) of 7 records reviewed, resulting in the inability to determine the patient’s progress towards goal and the potential for poor patient…

The agency failed to ensure that all services were provided only as ordered by the Physician for 1 (P-6) of 2 patients who resumed services under the agency's care after an inpatient stay, from a total of 7 sampled records reviewed, resulting in the rendering of unauthorized care and services and…

The agency failed to ensure Physician's orders were signed, authenticated and dated by the Physician for 1 (P-7) of 1 patient ordered to receive wound care, from a total of 7 sampled records reviewed, resulting in the provision of unauthorized services and the potential for the rendering of unsafe…

The agency failed to ensure its skilled disciplines promptly notified the Physician of major drug interactions for 1 (P-6) of 1 patient and failed to promptly notify the Physician of a change in condition for 1 (P-7) of 1 patient who experience worsening of wound status, from a total of 7 sampled…

The agency failed to coordinate patient needs between Skilled Nursing (SN) and Physical Therapy (PT) in 1 (P-5) of 7 total sampled records reviewed, resulting in the potential for unrecognized safety concerns and poor clinical outcomes.

The agency failed to ensure skilled nursing provided care and services as ordered by the Physician for 2 (P-4, P-7) patients who required blood draws and wound care management, from a total of 7 sampled records reviewed, resulting in the potential for unidentified clinical needs, worsening of the…

The agency failed to ensure the discharge summary was sent to the physician in 1 of 2 discharged records reviewed (P-1, P-2); and failed to send the transfer summary to the physician within 48 hours in 1 (P-5) of 1 record reviewed with a transfer out of a total sample of 7 records reviewed…