Select Home Health Services, Inc

The agency failed address the agencies communication plan in 1 of 1 emergency preparedness plan.

The agency failed to ensure that a copy of the home health aide (HHA) plan of care instructions was provided and accessible to the patient for 1 of 1 HHA home visit observation.

The agency staff failed to follow infection control techniques regarding hand hygiene with wound care for 1 of 2 wound care observations (RN 1); and failed to remove gloves and perform hand hygiene for 2 of 3 home visit observations with a nurse (RN 1, RN 2) and 1 of 1 home visits with a HHA (HHA…

The agency failed to complete an initial assessment within 48 hours of a referral for 4 of 14 active records reviewed.

The agency failed to have a signed POC or a verbal POC order from the primary physician before providing services and treatments to patients for 6 of 18 records reviewed, potentially affecting all patient records.

The home health agency failed to ensure an initial assessment was completed within 48 hours of referral for 3 of 4 active patient records reviewed (Patient #19, #20, and #23).

The home health agency failed to ensure patients received all services as outlined in the plan of care (See Tag G436); failed to collaborate with the physician regarding discharge for measurable outcomes and goals being achieved (See Tag G458); failed to advise the patient and physician that a…

The home health agency failed to ensure the initial assessment was completed within 48 hours of referral to the agency (See G514); Based on record review and interview, the home health agency failed to ensure all wounds were measured during the initial comprehensive assessment (See G528); and Based…

The agency failed to ensure clinicians followed the manufacture's' directions for use when disinfecting reusable devices and tools taken into and used for patient care for 1 of 1 occupational therapist [OT] observed (OT1).

The home health agency failed to ensure patients received all services as outlined in the plan of care for 1 of 1 discharged records reviewed which evidenced the agency failed to provide Occupational Therapy services as ordered in the plan of care (Patient #13).

The home health agency failed to evidence collaboration with the attending physician regarding planned discharge for measurable outcomes and goals achieved for 3 of 5 discharged patient records reviewed (Patient #13, 15 and 16).

The home health agency failed to collaborate with the physician regarding possible discharge for cause for 1 of 1 discharge for noncompliance patient records reviewed (Patient #13).

The home health agency failed to evidence efforts were made to resolve the behavior problems in Patient home for 1 of 1 discharge record reviewed for noncompliance (Patient #13).

The home health agency failed to provide the patient and/or representative with contact information for other home health agencies who may be able to provide care for 1 of 1 discharge record reviewed for noncompliance (Patient #13).

The home health agency failed to document the problem and efforts made to resolve the problem in the clinical record for 1 of 1 discharge for noncompliance patient records reviewed (Patient #13).

The agency failed to document the existence of the complaint and the resolution of the complaint in the clinical record for 1 of 1 discharged clinical records reviewed with a complaint (Patient #13).

The home health agency failed to ensure the initial assessment was completed within 48 hours of referral to the agency for 1 of 4 active patients reviewed with a start of care after 10/01/23 (Patient #7).

The home health agency failed to ensure all wounds were measured during the initial comprehensive assessment for 1 of 6 active patients with wounds (Patient #4).

The home health agency failed to ensure a complete review of all current medications was performed for 7 of 17 patient records reviewed (Patients #1, 2, 3, 5, 11, 13, and 14).

The home health agency failed to ensure orders for treatment were received prior to staff providing services for 12 of 17 patient records reviewed (Patients # 3, 4, 8, 9, 10, 11, 12, 13, 14, 15, 16, and 17). *Patient #6’s clinical record included a POC for the certification period 09/30/23 to…

The home health agency failed to notify the attending physician involved in the patient’s care regarding a change in Therapy visit frequencies for 2 of 5 discharged records reviewed with Therapy services (Patient’s #13 and #17).

The home health agency failed to document collaboration with the patient, caregiver and physician regarding discharge and failed to provide notification to the patient at least 15 days prior to discharge for 3 of 5 discharged patient records reviewed (Patient’s #13, 15, and 16).

The home health agency failed to ensure collaboration between home health agency staff and Assisted Living Facility (ALF) staff for 3 of 8 ALF patient records reviewed (Patient’s #14, 15 and 16).

The home health agency failed to ensure supervisory visits for home health aides (HHAs) were performed every 14 days for 1 of 1 patient record reviewed where the patient received HHA services (Patient #6.) Findings include: Policy “Nurse Supervision” included but not limited to “Home Health Aides…

The home health agency failed to ensure the governing body appointed a qualified administrator for 1 of 1 agency.

The home health agency failed to submit the discharge summary to the attending physician who will be responsible for providing care within 5 days of discharge for 2 of 5 discharged clinical records reviewed (Patient’s #13 and 15).

The home health agency failed to implement its policy that required the plan of care to be individualized to include all supplies and equipment necessary to meet the patients' needs for 5 of 6 active records patients whose clinical record was reviewed.