Rite Choice Home Health Care, LLC

The agency failed to maintain compliance with this condition of participation.

The agency failed to ensure all staff and individuals providing services under arrangement received initial and annual training in the agency's emergency preparedness program.

The agency failed to ensure the registered nurse (RN) provided care as ordered by the physician in the plan of care for 1 of 8 records reviewed (MR#7) in which care was provided by a skilled nurse, from a total sample of 10 records reviewed, resulting in a poor outcome for the patient.

The HHA (Home Health Agency) failed to revise and update the Plan of Care (POC) in 1 of 10 records reviewed (M.R.# 2), resulting in the potential for patient harm due to the POC not meeting the patient's needs.

The agency failed to ensure home health aide (HHa) skills were evaluated by observing the aide's performance of the tasks with a patient prior to performing services as an HHa for the agency for 2 of 4 aides (HHa#2 and HHa#3), from a total sample of 4 aide personnel files reviewed, resulting in the…

The agency failed to ensure the RN (registered nurse) prepared written patient care instructions alerting the home health aide (HHa) to the safety precautions that were applicable to each patient, for 3 of 3 records reviewed (MR# 2, 6, 7) in which HHa services were provided, from a total sample of…

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The agency failed to ensure that all entries in the medical record were authenticated by a signature and title for 1 of 8 records reviewed (MR#10) in which therapy services were provided, from a total sample of 10 records reviewed, resulting in a lack of validation to the correctness of the…

The home health agency failed to advise the patients of the names, addresses and telephone numbers of Federally-funded and State-funded entities that serve the area where the patient resides, resulting in the potential for patient needs being unmet.

The agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects, document the findings of the drug regime review, and failed to ensure the physician was notified of any potential drug interactions in 3 records, from a total of 10…

The HHA (Home Health Agency) failed to ensure the goals on the Plan of Care (POC) were measurable in 3 of 10 records reviewed (M.R.#s 4, 6, and 10), resulting in the potential for a plan of care not meeting the patient's needs.

The agency failed to ensure that home health aide (HHa) in-service training was supervised by a registered nurse (RN) for 2 of 2 home health aides (HHa#2 and HHa#3) employed for more than 12 months, resulting in a lack of RN supervision to ensure in-service training is pertinent to home health aide…

The agency failed to ensure the skilled professional made an annual on-site observation visit at the patient's residence to observe the care being provided by the home health aide (HHa), for 2 of 2 home health aides (HHa #2 and #3) employed for more than one year, resulting in a lack of oversight…

The agency failed to ensure home health aides (HHa) that provided services under arrangement met the competency evaluation requirements of this part for 2 of 4 aides (HHa#2 and HHa#3), from a total sample of 4 aide personnel files reviewed, resulting in the provision of aide services by aides that…

The agency failed to send the patient's discharge summary to the physician for 3 of 4 records reviewed for discharge (MR's # 1, 4, 10) out of a total sample of 10 records reviewed, resulting in the potential for unidentified continuing healthcare needs and unmet care needs.