Simplifi Home Health LLC

The agency failed to ensure administrative policies and procedures related to Emergency Preparedness Plan patient data management were in place for all patients and employees.

The agency failed to ensure development, implementation, and maintenance of processes for an integrated emergency preparedness response with Federal, State, Tribal, Regional and Local emergency management officials for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure conduction of patient centered QAPI Program activities that included self-monitoring efforts and opportunities to identify problems to improve care, services and operations for all patients and employees.

The agency failed to ensure the selection, review and reporting of ongoing PIP data through the QAPI program for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of a patient centered QAPI program for all patients and employees.

The agency failed to ensure the Infection Control Program surveillance data was included in QAPI program activities for all patients and employees.

The agency failed to ensure governing body oversite of: 1. An operating budget, capital expenditure plan and allocation of resources activities for calendar year 2023 and 01/01/24 to 10/08/24; and 2. Agency program evaluation for calendar year 2023 and 01/01/24 to 10/08/24 for all patients and…

The agency failed to ensure the administrator’s name and contact information related to complaint and grievance procedures for the agency was a part of the admission packet information for all patients.

The agency failed to ensure patient advisement of complaint and grievance processes for the agency were included in patient admission packet information for four (Patients #1, 3, 4 and #5) of 11 patients reviewed.

The agency failed to ensure patient advisement of OSDH contact information were included in patient admission packet information for four (Patients #1, 3, 4 and #5) of 11 patients reviewed.

The agency failed to ensure coordination of care or communication with physicians were conducted prior to patient discharged from the agency for two (Patients #10 and 11) of 11 patients.

The agency failed to ensure start of care within 48 hours of referral for one (Patient #2) of 11 patients.

The agency failed to ensure individualized patient POC included: 1. PT interventions and goals for three (Patients #1, 4 and #10) of 11 patients; 2. OT interventions and goals for one (Patient #2) of 11 patients; and 3. Identified wound site care for one (Patient #2) of 11 patients.

The agency failed to ensure physician orders were documented for PT for two (Patients #3 and 7) of 11 patients.

The agency failed to ensure services were provided as ordered on the POC’s: 1. SN to conduct assessment of site and perform wound care every visit for one (Patient #2) of 11 patients; 2. SN to conduct assessment of patient weight every visit and notify the physician of change in patient weight for…

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.

The agency failed to ensure PT discharge clinical visit note documentation was completed for one (Patient #7) of 11 patients.

The agency failed to ensure PIP documentation was thorough and inclusive of initiation date(s), agency action and reasons for PIP initiation for three of three PIPs reviewed which had the potential to reduce PIP success for all patients and agency employees from January 2019 to September 30, 2021.…

The agency's governing body failed to ensure PIPs were evaluated for effectiveness for all patients on service during calendar years 2019, 2020 and January through September 2021. Findings A review of PIPs showed undated PIPs and no dates of initiation, no PIP review, no specific interventions…

The agency failed to ensure skilled professional services were provided in accordance with the POC frequency for two (Patient #6 and 8) of 12 patients.

The agency failed to ensure the agency administrator of record was currently certified as a home care administrator.