Revival Home Health Care, L L C

The Agency failed to ensure the Emergency Preparedness Plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency and to inform State and local officials of any…

The agency failed to attempt to reschedule missed visits to meet the visit frequency in the Plan of Care (POC) in 1 (P-6) of 7 records reviewed (G572); failed to ensure the POC included all required information in 3 (P-2, 4, 7) of 7 records reviewed (G574); and failed to ensure that…

The Agency failed to develop an Infection Control Program and monitor staff's performance to ensure infection control policies and accepted standard precautions to prevent the transmission of infections and communicable diseases were followed (See G682); failed to maintain an agency-wide program…

The Agency failed to ensure its Emergency Preparedness Program included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency and to inform State and local officials of any…

The Agency failed to develop and maintain an Emergency Preparedness communication plan that integrated specific roles, tasks and responsibilities of its staff in the event of an actual emergency, resulting in the Agency's inability to ensure the coordination of patient care during an…

The Agency failed to develop and maintain an Emergency Preparedness communication plan that includes the names and contact information for staff, entities providing services under arrangement, and patient's physicians, resulting in a lack of effective communication in the event of an actual…

The Agency failed to develop and maintain an emergency preparedness communication plan that included primary and alternate means for communicating with staff, Federal, State, tribal, regional, and local emergency preparedness officials, resulting in a lack of an effective and tested framework to…

The Agency failed to develop a training program which would test the two highest risk hazards identified in the all-hazard risk assessment during the last two years, resulting in an increased potential for harm for the 11 Agency staff members and the 9 active patients currently receiving services…

The Agency failed to provide documentation for the required Agency and Community based full-scale exercises and failed to provide documentation of an actual event that would qualify as a test of its emergency plan, resulting in staff being ill-prepared in the event of an actual emergency and the…

The agency failed to attempt to reschedule missed visits to meet the visit frequency in the plan of care in 1 (P-6) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The Agency failed to develop, implement, and maintain a Quality Assessment and Performance Improvement (QAPI) program which provided documentation of its efforts to measure, track and analyze quality indicators that represented pre-established performance improvement projects (PIP's) designed to…

The Agency failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment and performance improvement (QAPI) program, which had the potential to negatively affect all 94 patients serviced by…

The Agency failed to develop a Performance Improvement Project (PIP) within its QAPI (Quality Assessment Performance Improvement) program that documented the reasons for conducting these projects with measurable progress achieved for the chosen PIPs for the last three years, resulting in the…

The Agency failed to develop an Infection Control Program which monitored staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed since March 2022, resulting in a lack of oversight…

The Agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the Agency's QAPI (Quality Assessment Performance Improvement) program, resulting in the potential spread…

The Agency failed to ensure annual infection control education was provided to staff employed or contracted by the Agency in 4 (Clinical Manager/Staff B, Registered Nurse/Staff E, Occupational Therapy/Staff F, and Physical Therapy Assistant/Staff G) out of 9 personnel files reviewed for annual…

The agency failed to ensure home health aides were assigned to a specific patient by the appropriate skilled professional in 1 (P-7) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The Agency failed to ensure that at least one qualifying service was provided directly (W-2) by Agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The agency failed to ensure the clinical record contained completed assessments and visit notes for 1 (P-5) of 7 records reviewed, resulting in a lack of information for all agency staff caring for this patient.

The agency failed to ensure the patient had the right to participate in, be informed about, and consent or refuse care in 1 (P-7) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the patient was advised of the names, addresses, and telephone numbers of federally and state-funded entities that service the area where the patient resides.

The agency filed to ensure the initial assessment visit was conducted within 48 hours of referral to determine the immediate care and support needs in 1 (P-6) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the comprehensive assessment was completed by all disciplines within 5 days of the start of care in 1 (P-5) of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s current health status at the time of admission for 2 (P-4, 5) of 7 records reviewed, resulting in incomplete clinical information to aide in determining the needs of these patients to assist in developing…

The agency failed to follow agency policy regarding reconciliation and management of high risk drugs in 1 (P-4) of 7 records reviewed, resulting in the potential for harmful medication interactions and poor patient outcomes.

The Agency failed to ensure the Plan of Care (POC) included pertinent safety measures to protect individuals from injury, and failed to ensure skilled nursing (SN) goals on the POC were patient specific and measurable in 1 (P-2) 1 record reviewed with SN as the lone service provided, out of a total…

The Agency failed to ensure services were provided only as ordered by the physician in 4 (P-3, 4, 5, 6) of 7 records reviewed, resulting in the potential to negatively affect all 9 patients currently serviced by the Agency.

The agency failed to ensure a revised plan of care was developed following a hospitalization and resumption of care in 1 (P-6) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the patient and caregiver were provided with the name of the clinical manager, resulting in the patient being uninformed of who to contact at the agency with any concerns.

The agency failed to adequately assess and monitor the needs of the patient in 2 (P-4, 7) of 7 records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to ensure the clinical record contained updated responses to interventions in 1 (P-7) of 7 records reviewed, resulting in an inaccurate and incomplete medical record.

The Agency failed to ensure physical therapy (PT) services were furnished as ordered in 2 of 6 (MR's #1, 6) records reviewed with PT services and failed to notify the physician of a significant clinical finding in 1 of 7 (MR #6) records reviewed, resulting in a delay in services and no…

The Agency failed to advise their patients of the names, addresses and telephone numbers of the Federally and State funded entities that serve the area in which each patient resides, resulting in the potential for unmet patient care needs for all patients currently serviced by the Agency.

The Agency failed to ensure the registered nurse conducted a thorough review of the patient's medications during the start of care (SOC) comprehensive assessment for interactions, accuracy of dosages and duplicative therapy for 1 of 2 (MR #7) records which therapy only cases were assigned, out of a…

The Agency failed to ensure skilled nursing (SN) included measurable outcomes, pertinent safety precautions, and reportable weight parameters in 2 of 7 records reviewed (MR #'s 4, 7) from a total sample of 7 records reviewed, resulting in patients not receiving care specific to their individual…

The agency failed to maintain an emergency preparedness program that includes an emergency plan, procedures, communication plan, training, and testing.

The agency failed to review and update every 2 years an emergency preparedness program that included an emergency plan with the required elements.

The agency failed to maintain an Emergency Preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years.

The agency failed to maintain an Emergency Preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, and the communication plan.

The agency failed to include the frequency of wound dressing changes in 1 of 7 records reviewed (MR# 4), with a total of 7 records, resulting in the potential for unmet nursing care needs identified on the plan of care.

The agency failed to ensure they altered the plan of care due to the patient's significant change in health status in 1 of 7 records reviewed (MR# 1), from a total sample of 7 records reviewed, resulting in the potential for unmet care needs and the potential for failure to achieve the goals and…