Sierra Pride Home Healthcare Agency

The agency failed to review and update its emergency preparedness (EP) plan as required at least every two years, and include strategies to address identified high-risk emergency situations, resulting in no directions for agency personnel in the event of an actual emergency or disaster and the…

The agency failed to develop and update its emergency preparedness (EP) policies and procedures that were based on an EP plan, risk assessment, and communication plan, resulting in the agency's inability to implement appropriate emergency actions which could negatively affect the health and safety…

The agency failed to ensure the skilled nursing (SN) goals on the Plan of Care (POC) were measurable and appropriate in 4 (P-1, P-4, P-6, P-7) of 7 records reviewed, resulting in the potential for unmet patient care needs.

The agency failed to ensure the registered nurse included safety measures in the aide plan of care in 1 (P-1) of 1 record reviewed with home health aide services, resulting in the potential for the provision of unsafe care.

The agency failed to ensure documents in the clinical records were complete and appropriately authenticated with a signature, title, dated, and timed in 2 (P-1, P-4) of 7 records reviewed, resulting in records that are not authenticated, accurate, timely, and do not portray the care provided by the…

The agency failed to provide accurate information to patients regarding the complaint process in the start of care folder, resulting in the potential for complaints to go unresolved.

The agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (P-5) of 2 discharged records, resulting in the patient being denied the right to appeal the decision to end covered services…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 2 (P-1, P-2) of 7 records reviewed, resulting in incomplete clinical information to aid in determining the needs of the patients and for measuring the patient's progress toward…

The agency failed to ensure the comprehensive assessment included a review of all the patient's prescribed medications to determine any untoward interactions, physician's response, and follow-up for 5 (P-1, P-2, P-5, P-6, P-7) of 7 records reviewed, resulting in the potential for harmful medication…

The agency failed to ensure the Plan of Care (POC) was complete and included pain parameters in 7 (P-1, P-2, P-3, P-4, P-5, P-6, P-7) of 7 records reviewed; failed to include a comprehensive list of current medications in 1 (P-3) of 7 records reviewed; failed to include safety precautions in 1…

The agency failed to provide Occupational Therapy (OT) services as ordered in 2 (P-2, P-4) of 4 records reviewed with ordered occupational therapy (OT) services, resulting in the potential for the provision of inappropriate care and lack of skilled services.

The agency failed to ensure discharge summaries were complete in 2 (P-3, P-6) of 2 discharged patient records, resulting in the potential for unidentified continuing health care concerns and unmet care needs.