Quality Assurance Staffing, LLC
Inspection 2020-10-08
· Focused Infection Control, Other-Fed, Recertification · 15 deficiencies · CMS source report (PDF)This agency failed to establish an Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.
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This agency failed to develop, implement, evaluate and maintain an effective ongoing home health agency wide data driven QAPI (Quality Assessment and Performance Improvement) program in 1 of 1 QAPI programs reviewed.
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This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.
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This agency failed to maintain effective administration and organization of the agency functions and services provided in 1 of 1 agency reviewed.
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This agency failed to implement a QAPI (Quality Assessment and Performance Improvement) program that had continued oversight by the Governing Body in 1 of 1 QAPI program.
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The agency failed to maintain an agency-wide program for the surveillance and identification of infectious and communicable diseases that is an integral part of the Quality Assessment Performance Improvement (QAPI) program in 1 of 1 Infection Control Program reviewed.
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This agency's governing body failed to maintain oversight of the agency to ensure they followed current regulations in 3 of 3 programs reviewed.
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This agency's administrator failed to ensure the agency followed current regulations in 3 of 3 programs reviewed.
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The agency failed to notify patients of their right to receive the patient rights form in the individual's preferred language, free of charge, with the use of interpreter, in 1 of 1 Patient Rights forms reviewed.
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The agency failed to provide patients or legal representative with their Home Health Agency (HHA) Administrator contact information, including name and business address and telephone in order to receive complaints, in 1 of 1 Patient Rights forms reviewed.
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The agency failed to inform patients of their right to be free from verbal, mental, sexual, and physical abuse including injuries of unknown source, neglect and misappropriation of property in 1 of 1 Patient Rights forms reviewed.
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The agency failed to notify patients of their right to receive all services outlined in the plan of care in 1 of 1 Patient Rights forms reviewed.
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The agency failed to inform patients of their right to names of federally funded entities (agency on aging, center for independent living, protection and advocacy agency, aging and disability resource center and quality improvement organization) and their contact information for the area in which…
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The agency failed to notify patients of the right to receive notice of the patient's rights and responsibilities in the individual's preferred language, free of charge with the use of a competent interpreter, as needed and no later than the completion of the second visit from a skilled professional…
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The agency staff failed to assess the patients risk for Emergency Room (ER) visits and hospital re-admission in 2 of 2 (#1 & 2) medical records reviewed.
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