Rmg Home Care Inc

The agency failed to complete a hazards risk assessment as part of the agency's Emergency Preparedness (EP) Plan.

The agency failed to electronically transmit completed Outcome and Assessment Information Set (OASIS-a group of standard data elements developed to enable systemic comparative measurements of home health care patient outcomes) assessments to the Centers for Medicare and Medicaid Services (CMS)…

The agency failed to follow standards of practice for infection control during wound care for one patient (#5), out of three total home visit observations.

The facility failed to ensure staff entries were legible, clear, complete, appropriately authenticated, dated, and timed, relative to a.) staff visit notes for 4 patients (#1, #2, #3, and #7), and b.) physician ordered Home Health Certification and Plan of Care (POC) for 2 patients (#1 and #2), out…

The agency failed to ensure a patient participate in, was informed about, and consented or refused care in advance of and during treatment, where appropriate, for 2 patients (#2 and #7), out of a total sample of 7 patients.

The agency failed to ensure that services were provided as ordered by the physician or allowed practitioner, as indicated in the plan of care (POC), for 4 patients (#1, #2, #5 and #7), out of a total sample of 7 patients.

The agency failed to ensure staff communicated with all physicians involved in the plan of care (POC) and other health care practitioners (as appropriate) related to the current POC, for 4 patients (#1, #2, #5 and #7), out of total sample of 7 patients.

The agency failed to complete a supervisory assessment of the Home Health Aide (HHA) services being provided no less frequently than 14 days for one patient (#7), out of one receiving HHA services out of a total sample of 7 patients.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional responsible for providing care and services to the patient after discharge from the agency within 5 business days of the patient's discharge for 1 patient (#4), out…

The Agency failed to ensure its staff signed clinical notes after providing a home visit for four Patients (#4, #7, #1 and #3), out of a total sample of seven Patients.

The facility failed to substantiate that an emergency preparedness program that meets all of the standards specified within the condition/requirement has been developed.

The agency failed to ensure that an emergency plan was developed which met all applicable Federal, State and local emergency preparedness requirements.

The agency failed to develop an emergency plan that included a process for cooperation and collaboration with local, regional, tribal, State and Federal emergency preparedness officials.

The agency failed to ensure that the program included policies and procedures that are in alignment with the hazards identified within the facility's risk assessment.

Review of the patient's clinical record including the admission paperwork indicated he/she did not have an individualized emergency plan completed.

The agency failed to develop procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residence due to an emergency situation.

The agency failed to ensure that 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 on duty staff or patients that they are…

The agency failed to develop, establish and maintain a comprehensive EP that included names and contact information.

The agency failed to conduct training and testing on the EP program.

The agency failed to provide initial Emergency Preparedness (EP) training to all newly hired staff.

The agency failed to ensure that two required exercises were conducted: Findings include: Review of the agency's EP indicated the following; - Two EP exercises will be conducted annually, - The agency will participate in a full scale exercise that is community based.

The agency failed to ensure the plan of care was followed for 3 patients (#2, #4 and #5) in a total sample of 8 patients.

The Home Health Agency failed to ensure physician orders were signed within the required time frame for 4 patient records (#3, #4, #6 and #7) in a total sample of 8 records.

The agency failed to ensure Home Health Aide (HHA) education included the required 16 hours of supervised practical training.