Senior Citizens Home Health Care

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years, and specific guidance to be followed in the event of a crisis, resulting in lack of direction for Agency personnel in the event of an actual emergency or disaster.

The agency failed to ensure the following: the initial assessment visit was held within 48 hours of referral; the comprehensive assessments accurately reflected the patient's current health status; a registered nurse conducted a review of the patients' medications; update or revise the…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, and prevention of COVID-19; and failed to develop a method of screening visitors and all staff employed by this agency, including who were granted clinical privileges, resulting in the potential…

The Agency failed to ensure skilled professionals performed assessments of the patient's health status and needs in 2 (MR #5, 9) of 9 records reviewed with multiple disciplines, from a total of 10 sampled records reviewed, resulting in the potential for unidentified health concerns, decline in…

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years, and specific guidance to be followed in the event of a crisis, resulting in lack of direction for Agency personnel in the event of an actual emergency or disaster.

The Agency failed to develop an Emergency Preparedness policy/Plan, that had been updated every 2 years and included the use of volunteers, as appropriate, and/or other emergency staffing strategies to address surge needs during the COVID-19 crisis, resulting in the potential for the interruption…

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all current staff, patient's physicians, and volunteers, as appropriate, which had the potential to negatively affect the health and safety of the 37 patients currently…

The Agency failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, including contract employees, and failed to maintain documentation of trainings, resulting in the potential for inappropriate, unprepared responses to emergencies and…

The Agency failed to provide documented evidence of staff's participation in the required community/facility based full-scale exercises, since its initiation in 2009, and in light of the Covid-19 pandemic, resulting in staff being ill-prepared in the event of an actual emergency.

The Agency failed to ensure that 4 (MR's #1, 3, 4 and 5) of 10 patients received care and services as written in the patient's individualized plan of care, from a total of 10 sampled records reviewed, resulting in the potential for poor grooming, physiological and psychological decline, lack of…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, and prevention of COVID-19; and failed to develop a method of screening visitors and all staff employed by this agency, including who were granted clinical privileges, resulting in the potential…

The Agency failed to provide documented evidence that Covid-19 infection control education was provided to all staff employed by this Agency staff, including all contracted staff and those who were granted clinical privileges, resulting in the potential for the development and spread of the…

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the Home Health Aide regarding client needs, and safety precautions prior to the provision of care in 3 (MR#'s 1, 3, 5) of 4 records in which Home Health Aide services were ordered, from a total of 10…

The Agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The Agency failed to ensure that 2 (MR's #2 and 4) of 4 patients observed during home visits, were included in the overall planning of care including the timeliness of services received; and failed to inform the patient/caregiver in advance of the days in which services would be provided resulting…

The agency failed to ensure the initial assessment visit was held within 48 hours of referral for 1 of 2 (MR#10) records reviewed in which physical therapy completed the initial assessment visit, and 3 (MR's #1, 4, 5) records in which Registered Nurse was to completed the Initial Assessment, from a…

The Agency failed to ensure the Comprehensive Assessments accurately reflected the patient's current health status, baseline data for future assessments, and ascertained the patient's immediate care needs in 10 (MR's #1, 2, 3, 4, 5, 6, 7, 8, 9, 10) of 10 records, from a total of 10 sampled records…

The agency failed to ensure a review of all medications and failed to ensure a registered nurse conducted a review of the patients' medications for any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy for 6 of 10 (MR# 2, 3, 4, 6, 8, 10) records…

The agency failed to update or revise the comprehensive assessment within 48 hours of the patient's return home from the hospital for 1 o1 (MR# 8) records reviewed in which care was resumed, resulting in no assessment of the health status and care needs for this one patient.

The agency failed to update the comprehensive assessment at the time of discharge, that included a summary of the patient's progress towards goals for 1 (MR #5) of 1 patient's record reviewed, who discharged from the agency's services, resulting in the potential for unaddressed health concerns and…

The Agency failed to ensure that the Physician was promptly notified of 1 (MR #3) of 1 patient who sustained a fall with a head injury and a subsequent accident resultant from hot liquid burns to bilateral thighs, resulting in the potential for unidentified health concerns, delayed treatment and…

The Agency failed to ensure skilled professionals performed assessments of the patient's health status and needs in 2 (MR #5, 9) of 9 records reviewed with multiple disciplines, from a total of 10 sampled records reviewed, resulting in the potential for unidentified health concerns, decline in…

The Agency failed to ensure the Occupational Therapist assisted the Physician in evaluating the patient's level of function and helped to develop the plan of care for 2 (MR's #4, 5) of 4 records in which Occupational Therapy services were ordered, from a total sample of 10 records reviewed…

The agency failed to ensure skilled professionals were responsible for preparing clinical notes for 2 of 10 (MR# 3 and 6) records reviewed, resulting in a lack of information regarding the health status of these patients and the potential for unmet care needs.

The agency failed to ensure the home health aide provided services at the frequency ordered by the physician and failed to provide services as indicated in the aide care plan for 1 of 4 (MR# 8) records reviewed in which aide services where provided, resulting in a lack of personal care services for…

The Agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 3 of 4 (MR# 3, 7 and 9) records reviewed in which the…