Scott's Home Healthcare LLC

The Registered Nurse (RN) failed to complete the inital assessment within 48 hours of referral (see tag G514); failed to ensure contents of the comprehensive assessment was accurate (see tag G526); failed to ensure patient goals were identified in the comprehensive assessment (see tag G530); failed…

The Registered Nurse (RN) failed to ensure a complete and individualized plan of care was developed (see tag G574); failed to ensure a written visit schedule was provided to the patients (see tag G614) and failed to ensure that a medication list was provided to the patient (see tag G616).

Failed to ensure that all perspective home health aide employees performed all tasks required in their entirety as required for placement on the home health aide registry (see tag G768; failed to ensure that an aide careplan was completed for each shift and failed to ensure that the aide care plan…

The agency failed to submit OASIS (outcome and assessment information set) within 30 days of assessment completion for 3 of 3 skilled records requiring OASIS submissions (#2, 8, 9).

The Registered Nurse (RN) failed to ensure contents of the comprehensive assessment was accurate for 1 of 7 full records reviewed in a sample of 17 (#3).

The agency failed to ensure all staff followed infection control policies and standard precautions for 3 of 3 home visits observed (#1, 2, 3).

Failed to ensure that all prospective home health aide (HHA) employees performed all tasks required, in their entirety with a patient and not simulated, as required to show competence for placement on the home health aide registry for 1 of 1 agency.

The registered nurse (RN) failed to ensure that an aide care plans were completed for each shift and failed to ensure that the aide care plan was individualized with specific tasks timeframe's to be completed for 7 of 7 patients receiving HHA (home health aide) services (#1, 2, 3, 4, 5, 9, 15).

The agency failed to authenticate visit documentation for 3 of 7 full records reviewed.

The agency administrator failed to ensure a confidential clinical record was maintained for 1 of 1 home visits observed utilizing electronic documentation (#1).

The agency administrator failed to investigate and document complete complaint investigations for 2 of 2 complaint investigations reviewed (#9, 12).

The Registered Nurse (RN) failed to complete the initial admission assessment within 48 hours of referral for 1 of 7 records reviewed (#1).

The Registered Nurse (RN) failed to ensure patient goals were identified in the comprehensive assessment for 7 of 7 full record reviews in a sample of 17 ( #1, 2, 3, 4, 5, 9, 15).

The Registered Nurse (RN) failed to ensure all drug to drug interactions were identified in the drug regimen review and failed to specify indications for as needed (PRN) medications for 7 of 7 full records reviewed (#1, 2, 3, 4, 5, 9, 15), in a sample of 17. Findings include: 1. An agency policy…

The Registered Nurse (RN) failed to ensure a Resumption of Care assessment (ROC) was performed after hospitalization for 1 of 1 patient who required a ROC in a sample of 17 (#2).

The Registered Nurse (RN) failed to accurately complete the plan of care to include all pertinent diagnoses for 6 of 7 records reviewed (#2, 3, 4, 5, 9, 15), ensure the goals were present for all identified needs for 7 of 7 records reviewed (#1, 2, 3, 4, 5, 9, 15), included all patient-specific…

The agency failed to ensure a written visit schedule was provided for review for 3 of 3 home visits observed and failed to follow the agency scheduling policy (#1, 2, 3) in a sample of 17. Findings include: 1. A policy dated 1/14/19 titled "Patient Care Scheduling #258.00" stated, "...9. Patient's…

The agency failed to ensure that a medication list was provided to the patient for 1 of 3 home visits observed (#3).

The skilled nurse (SN) failed to conduct visits in accordance with the plan of care for 1 of 2 records reviewed with skilled nurse services (#2) in a sample of 17. Findings include: The clinical record of patient #2 was reviewed 2/19/19 and indicated a start of care date of 5/26/17. The record…

The skilled nurse (SN) failed to prepare clinical notes completely and accurately for 1 of 2 patients receiving skilled nursing services in a sample of 17 (#4).

The home health aide (HHA) failed to follow the plan of care for 3 of 7 full records reviewed (#4, 5, 9) in a total sample of 17. Findings include: 1. An agency job description dated 1/10/18, titled "Home health aide," Policy # 606.00 stated "... Performance Responsibilities ... Follows a written…

The Clinical Manager failed to ensure the skilled nurse (SN) performed a complete physical assessment per professional standards for 1 of 1 skilled nurse home visits observed (#2).

The agency failed to ensure that a transfer summary was completed and sent to the admitting inpatient facility for 2 of 2 patients hospitalized (#2, 8) in a sample of 17. Findings include: 1. The clinical record of patient #2 was reviewed 2/19/19 and indicated a start of care date of 5/26/17. The…