Sacred Heart Home Health, Inc

The Agency failed to establish policies and procedures based on the risk assessment.

The Agency failed to conduct the required testing of its Emergency Preparedness Plan.

In 21 of 117 assessments submitted for the last 12 months, the Agency failed to submit all reports timely, resulting in a warning.

In 1 of 2 (Pt. #6) clinical records reviewed, wherein Home Health Aide services are provided, the Agency failed to ensure the RN provide written instructions to the Home Health Aide.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Administrator.

In 6 of 7 (Pts. #1, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the State's hot line contact information for home health inquiries and to lodge grievances.

In 2 of 7 (Pts. #1 and 3) Pts. reviewed, the Agency failed to ensure the POC contained specific interventions related to Pt.'s diagnoses and medications.

In 2 of 7 (Pts. # 2 and 7) clinical records reviewed, the Agency failed to ensure that services provided were ordered by the physician.

In 1 of 1 (Pt. #7) clinical record reviewed, wherein Medical Social Worker service was provided, the Agency failed to ensure there was coordination of care between care providers to ensure Pt. needs were met.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide the Pt./patient's representative information regarding the Clinical Manager.

In 1 of 2 (Pt. #6) clinical records reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conduct Home Health Aide supervision every 14 days.