Reliance Health Care LLC

The agency failed to provide documented evidence the direct care staff members had signed and completed the training on the agency’s emergency preparedness (EP) plan for 8 of 10 employee files reviewed (Employee 2, 4, 5, 6, 7, 8, 9, and 10).

The agency failed to provide documented evidence exercises to test the emergency plan were conducted at least annually for the year 2022, 2023, and 2024. The deficient practice had the potential for failing to evaluate the effectiveness of the agency’s emergency plan and to assess the staff…

The agency failed to encode and electronically transmit each completed OASIS assessment within 30 days of completing the assessment of the beneficiary for 5 of 12 quarters.

The agency failed to provide documented evidence of the completion of at least 12 hours of in-service training during each 12-month period for 1 of 2 sampled home health aides (Employee 2).

The agency failed to ensure skilled visits were appropriately authenticated, dated and timed for 3 of 7 patients (Patient 1, 3, and 6).

The agency failed to ensure it safeguarded patient information from loss or unauthorized use.

The agency failed to ensure the social worker (Employee 7) hired to provide the medical social services, obtained a master’s or doctoral degree in social work.

The agency failed to ensure the comprehensive assessment included an accurate patient medication record and listed all the medications the patient was taking for 3 of 7 sampled patients (Patient 1, 5, and 7).

The agency failed to ensure the individualized plan of care included all medications the patients were receiving for 3 of 7 sampled patients (Patient 1, 5, and 7).

The agency failed to ensure all physician’s orders for the patients’ medications were recorded in the individualized plan of care for 3 of 7 sampled patients (Patient 1, 5, and 7).

The agency failed to ensure services were administered in accordance with physician orders for 1 of 7 patients (Patient #5).

The agency failed to ensure all physician’s orders for a patient’s medications were coordinated and integrated for 1 of 7 sampled patients (Patient 1).

The agency failed to ensure clinicians provided services as ordered in the plan of care for 3 of 7 patients (Patient #2, #5 and #7).

The agency failed to ensure the clinicians’ visit notes were completed and entered into the electronic medical record system within the prescribed period for 5 of 7 sampled patients (Patient 1, 3, 4, 5, and 6).

The agency failed to ensure a supervisory visit for a certified nursing assistant (CNA)/home health aide (HHA) was performed every 14 days for 2 of 7 sampled patients (Patient 1 and 3).

The agency failed to ensure a patient received ordered services in a timely manner for 1 of 7 patients (Patient #5).

The Home health Agency (HHA) failed to ensure the emergency preparedness plan was reviewed and updated at least every two years.

The Home Health Agency (HHA) failed to maintain an emergency preparedness (EP) plan based on a documented facility-based and community-based risk assessment utilizing an all hazards approach which was reviewed and updated at least every two years.

The Home Health Agency (HHA) failed to ensure its emergency preparedness (EP) policies and procedures that were based on a facility-based and community-based risk assessment and communication plan were reviewed and updated at least every two years.

The Home Health Agency (HHA) failed to ensure the emergency preparedness (EP) plan addressed a system of medical documentation that preserved patient information, protected confidentiality of patient information, and secured and maintained availability of records during an emergency/disaster.

The Home Health Agency (HHA) failed to ensure the emergency preparedness (EP) plan included a current list of staff and a list of patients' physicians.

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness (EP) training and testing program that was based on the EP plan, risk assessment, policies and procedures, and the communication plan that was reviewed and updated at least every two years.

The Home health Agency (HHA) failed to ensure home health aide services were administered only as ordered by a physician or allowed practitioner for one (Patient (P) 5) of two patient records reviewed with ordered home health aide services from a sample of eight patients.

The Home Health Agency (HHA) failed to ensure the physician was promptly alerted to any changes in the patient's condition or needs that suggest outcomes were not being achieved and/or the plan of care should be altered.

The Home Health Agency (HHA) failed to ensure the patient's medical record included all interventions, including medication administration, treatments, and services, and responses to those interventions.