Regency Home Healthcare Services, LLC

The home health agency (HHA) failed to inform and receive consent before taking 1 of 3 patients (P1) to the emergency room for observation and treatment reviewed for patient rights.

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

The facility failed to report all Outcome and Assessment Information Sets (OASIS) data collected in accordance with federal regulations.

The home health agency (HHA) failed to ensure abuse did not occur for 1 of 1 patient (P1) who was physically, verbally sexual and emotionally abused on several occasions by registered nurse (RN)-A who was providing private duty nursing to P1. The abuse was viewed via video footage.

The agency failed to ensure physician ordered tube feeding was administered only as directed by the physician for 1 of 1 patient (P1) reviewed.

The home health agency (HHA) failed to update the comprehensive assessment within 48-hours of the patient’s return to home from a hospital admission of 24 hours or more for 1 of 3 patients (P1) reviewed.

The home health agency (HHA) failed to ensure the individualized care plan included all the supplies and/or equipment in the homes of 2 of 3 patients (P1 and P2).

The home health agency (HHA) failed to conform with practitioner orders for 1 of 3 patients (P1).

The home health agency (HHA) failed to provide communication with all the physician involved in the plan of care related to the current plan of care for 2 of 3 patients (P1 and P2) reviewed.

The home health agency (HHA) failed to provide services in accordance with clinical practice guidelines and accepted professional standards of practice when 2 of 3 patients (P1 and P2) reviewed used of bed rails in their homes.

The home health agency (HHA) failed to accurately assess 1 of 3 patient’s (P1).

The home health agency (HHA) failed to conform with practitioner orders for 1 of 3 patients (P2).

The home health agency (HHA) failed to conduct a thorough respiratory assessment for 1 of 3 patients (P1) reviewed.

The home health agency (HHA) failed to provide a reasonable expectation for use of call lights for 2 of 4 residents reviewed.

The facility failed to provide the services identified in the plan of care for 1 of 4 patients (P3) reviewed.

The home health agency (HHA) failed to include all types of equipment required on the plan of care for 3 or 4 patients (P1, P3 and P4) who were observed to have side rails attached to their hospital beds and no documentation found on their care plans.

The home health agency (HHA) failed to assess and educate the patient and/or caregiver on professional standards of practice regarding bedrail use for 3 of 4 patients (P1, P3, and P4) observed to have side rails attached to their hospital bed.

The agency failed to establish a plan of care with patient-specific measurable outcomes and goals for 2 of 3 patient’s (P1 and P3) reviewed.

The agency failed to notify the patient, the Primary care Practitioner (PCP) that the patient was considered being discharged for cause.

The agency failed to report allegations of verbal abuse to the state agency immediately for 1 of 3 patients (P1) reviewed.

Atomoxetine 80 mg tablets daily for central nervous system Atorvastatin 40 mg daily for anti-hyperlipidemic (high cholesterol and/or triglycerides) Bupropion 75 mg daily for depression Buspar 75 mg daily for anxiety Caffeine 100 mg daily for stimulation Cetirizine 10 mg daily for allergies…

The agency failed to administer drugs in accordance with physician orders for 1 of 3 patients (P1).

The facility failed to assure communication with all practitioners involved in the plan of care for 2 of 3 clients reviewed (P1 and P3).

The facility failed to update the plan of care (poc) when there were changes to medications, for 1 of 2 (P5) patients observed during medication set-up.

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 the ventilator alarm was responded to immediately for 1 of 2 patients (P1) who was ventilator dependant.

The agency failed to implement appropriate infection control practices related to Covid-19. The agency failed to have staff self screen for respiratory symptoms other than fever, and failed to conduct health screening for clients prior to field staff visits based on the current federal and state…

The facility failed to include in their emergency plan, the potential for emerging infectious diseases.

The home health agency failed to address in their emergency preparedness policies and procedures, how staff would respond to each potential emergency situation.

The agency failed to include in their emergency preparedness policies and procedures how they would inform state and local authorities of the need for evacuations of their home bound patients in the event of an emergency that would require evacuation.

The agency failed to include in their emergency preparedness policies and procedures to follow up with on-duty staff and patients to determine services that are needed in an emergency situation.

The facility failed to ensure their emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge…

The home health agency (HHA) failed to determine communication abilities to outside resources.

The agency failed to ensure their communication plan included a means of providing information about the facility's needs, and ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The home health agency failed to provide training upon hire or annually related to the home health agencies emergency management plan (EMP).

The agency failed to ensure the physician was notified of missed home health aide (HHA) visits for 2 of 3 patients (P2 and P8) reviewed for HHA visits.

The agency failed to ensure appropriate infection control prevention measures for glove use and hand hygiene were followed for 1 of 1 patient (P6) observed to have tracheostomy site and supra pubic site care during a home visit.

The agency failed to ensure the plan of care (POC) included a statement of risk for readmission to the hospital or visits to the emergency department for 10 of 11 patient (P1, P3, P4, P5, P6, P7, P8, P9, P10, and P11) reviewed.

The agency failed to update the plan of care to reflect revisions made to medication orders for 1 of 2 patients (P6) observed for medication setup in the home.

The agency failed to ensure supervisory visits by the registered nurse were conducted at least every 14 days for 1 of 3 home care patients (P8) who received skilled nursing and home health aide services.

The agency failed to ensure freedom from financial exploitation when client money was taken by an alleged perpetrator for 2 of 7 clients P1 and P2. Findings include: P1's Home Health Certification and Plan of Care (POC) for the certification period from 12/23/10 to 2/20/19, identified P1 was…