Reverence Home Health & Hospice, LLC

The Agency failed to make effort to resolve problems identified during the provision of care for 1 (MR #1) of 1 patient who complained of sudden onset of pain while receiving therapy services, from a total of 2 sampled records reviewed, resulting in the patient's concerns not being addressed, unmet…

The Agency failed to document the patient's complaints and any efforts made to resolve the identified problems for 1 (MR #1) of 1 patient who complained of sudden onset of pain and inappropriate Physical Therapy services during a home visit, from a total of 2 sampled records reviewed, resulting…

The Agency failed to make effort to resolve problems identified during the provision of care for 1 (MR #1) of 1 patient who complained of sudden onset of pain while receiving therapy services, from a total of 2 sampled records reviewed, resulting in the patient's concerns not being addressed, unmet…

The Agency failed to document the patient's complaints and any efforts made to resolve the identified problems for 1 (MR #1) of 1 patient who complained of sudden onset of pain and inappropriate Physical Therapy services during a home visit, from a total of 2 sampled records reviewed, resulting…

The Agency failed to ensure that all complaints were fully investigated in 1 (MR #1) of 1 complaint received, from a total of 2 sampled records reviewed, resulting in unresolved concerns and the potential for the provision of substandard care.

The Agency failed to ensure that 1 (MR #1) of 1 patient who experienced a sudden onset of pain with reported injury during a Physical Therapy home visit, received appropriate care and treatment, from a total of 2 sampled patients resulting in unidentified health concerns, delay in treatment…

The Agency failed to provide documented evidence of the existence of complaints received, details of the investigation and the resolution of the complaints, as per this requirement, resulting in the potential for unaddressed patient concerns, inability to exercise one's rights and unmet care needs.

The Agency failed to take action to ensure all patients serviced by this Agency, who received Physical Therapy services, were protected pending the outcome of a complaint investigation for 1 (MR #1) of 1 patient who sustained injury during a Physical Therapy session, from a total of 2 sampled…

The Agency failed to ensure the Physician was promptly notified of a significant change in condition for 1 (MR #1) of 1 patient who experienced sudden pain during a Therapy home visit, from a total of 2 sampled records reviewed, resulting in lack of continuity of care, unaddressed health concerns…

The Agency failed to conduct initial and ongoing assessments for 1 (MR #1) of 1 patient who experienced a sudden onset of pain and reported injury during a home therapy visit, resulting in unidentified, untreated health concerns and poor patient outcomes.

The Clinical Manager (CM #1) failed the ensure the patient's needs were continually assessed for 1 (MR #1) of 1 patient who experienced a sudden onset of pain with reported injury, from a total of 2 sampled records reviewed, resulting in unidentified, untreated health concerns and unmet patient…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs…

The Home Health Agency (HHA) failed to ensure the frequency of visits ordered on the Plan of Care (POC) were followed in 1 of 12 records reviewed with home health aide (HHa) services ordered (M.R.# 5) from a total sample of 17 records reviewed, resulting in the potential for unmet patient needs.

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 11 (MR#'s 1, 2, 4, 5, 6, 9, 10, 11, 12, 13, 16) of 12 records in which Home Health Aide services…

The Agency failed to ensure that 2 (MR's #13 and 15) of 3 patients observed during home visits, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of inclusion in planning, the potential…

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (MR# 17) of 5 discharged records, resulting in the patient being denied the right to appeal the decision to end covered…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The Agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 12 (MR's # 1, 2, 3…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals specific to the needs of the patient for 14 (MR's # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15) records, from a total of 17 sampled…

The Agency failed to ensure a discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 4 (MR's #1, 11, 12, and 17), of 5 closed records and 1 (MR#14) of 1 record where…

It was noted that the transfer OASIS failed to include accurate information regarding the patient's status in 1 of 1 records reviewed in which the patient was transferred to the hospital of a total number of 17 records reviewed, potentially resulting in the lack of information of the status and…

The agency failed to ensure the home health aide plan of care included clear and complete instructions for the aide tasks to be performed including the amount, frequency and duration in 5 of 8 records reviewed in which Home Health Aide (HHA) services were ordered (MR #s 3, 7, 10, 13 and 15) out of…

The Agency (HHA) failed to ensure that the comprehensive assessment (Discharge Oasis) was updated/completed at the time of discharge from the agency in 1 of 5 discharged records, from a total of 17 sampled records reviewed (MR#3), resulting in an incomplete assessment of the patient's health status…

RBased on record review, observation and interview it was determined that the agency failed to ensure the professional staff provided ongoing objective measurements of the patient's heart failure including weights and edema in 7 of 10 records (MR#s 3, 7, 11, 13, 14, 16 and 17) in which the patient…

The agency (HHA) failed to ensure that physical therapy (PT), skilled nursing (SN), Home Health Aide (HHa) and speech therapy (ST) services were administered in accordance with the plan of care (POC) in 6 of 17 records reviewed (MR #'s 1, 2, 5, 7, 11, and 15) from a total sample of 17 records…