Rapha Home Healthcare, Inc

The agency failed to implement, evaluate and maintain an effective, ongoing, Home Health Agency-wide, data-driven QAPI program.

The facility failed to ensure the emergency preparedness plan included the contact information for agency staff.

The agency failed to conduct an exercise to test the emergency plan at least annually.

The agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted within 30 days of completing the assessment of the beneficiary for one (1) of one (1) Clinical Record.

The agency failed to ensure that the patient's comprehensive assessment must be updated and revised (including the administration of the OASIS) as frequently as the patient's condition warrants due to a major decline or improvement in the patient's health status but no less the last 5 days of every…

The agency failed to ensure that patient's had a plan of treatment completed for seven (7) of seven (7) CRs reviewed (CR #1-7).

Agency failed to have QAPI program showing measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care.

Agency failed to have QAPI program showing measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care.

The agency failed to maintain documentation to demonstrate performance improvement projects conducted annually at the HHA (home health agency).

The agency's governing body failed to define and implement an ongoing QAPI (quality assessment and program improvement) program for the purpose of quality improvement and patient safety; failed to ensure the HHA's (home health agency) QAPI efforts addressed priorities for improved quality of care…

The agency failed to ensure that a written summary report was completed and sent to the attending physician at least every 60 days for seven (7) of seven (7) clinical records (CR) reviewed (CR# 1-7).

The agency failed to ensure that patient's had physician orders/home care certification, including frequencies of services, completed prior to providing Home Health services or at anytime since their start of care for seven (7) of seven (7) CRs reviewed (CR #1-7).

The agency did not follow its policies: Agency failed to conduct Pennsylvania State criminal background check prior to employment for two (2) of six(6) personnel files reviewed (PF #1 & 4) Findings include: A review of policy occurred on 5/19/21 at approximatley 2 PM.

The agency failed to ensure that patient's had discharge summary sent to the physican within within 5 business days of the patient's discharge for two (2) of two (2) discharge patients reviewed (CR #6 and 7).

In a interview with the Adminstrator at approximately 2:30 p.m., it was confirmed that the original home referral orders from Temple were not changed by the ordering Physician, and that the Patient was not seen daily for Pulse-Ox, wound Care, daily Patient ambulation: lung assessment, or the…

The agency failed to administer treatments only as ordered by a physician for one, (1) of eight, (8) Clinical Records, (CR), reviewed.

The agency failed to Communicate with all physicians involved in the plan of care for, (1) of eight, (8) Clinical Records, (CR), reviewed.

The agency failed to determine that the Home Health Aide was able to demonstrate practical competency skills, and that the agency failed to administer a minimum of 16 hours of supervised practical training to combine a total of at least 75 hours, for eight, (8), of 10 Personnel Files, (PF)…

The agency failed to provide a federal criminal history record prior to a client assignment, for one (1) of 10 Personal Files, (PF), reviewed.