South County Home Health
Inspection 2022-04-25
· Focused Infection Control, Recertification · 12 deficiencies · CMS source report (PDF)The agency failed to comply with all applicable Federal, State and local emergency preparedness requirements, relative to an all hazards risk assessment, individual written emergency preparedness plans, and testing of the emergency preparedness plan.
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The agency failed to include a documented, facility-based and community-based risk assessment using an "all-hazards" approach.
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The agency failed to ensure all patients have a written individualized emergency plan for 17 of 17 patients, ID#'s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10,11,12,13,14,15,16 and 17. Findings are as follows: Record review for Patients, ID #'s 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 and 17, failed…
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The agency failed to participate in an emergency preparedness exercise to test the emergency plan.
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The agency failed to ensure the patient's plan of care is signed by a physician, for 3 of 17 patients records reviewed, ID #'s 3, 5 and 12. Findings are as follows: 1. Record review for patient ID #3, reveals a certification and plan of care dated 3/11/2022-5/9/2022 completed by the nurse on…
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The agency failed to provide infection control education to patients and or the patient's caregivers, for 2 of 2 patients with infections, patient's ID #'s 5 & 10. Findings are as follows: 1. Record review for Patient ID #5, revealed the patient was admitted on 3/13/2022, after being discharged…
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The agency failed to ensure that the patient’s clinical record identifies all medications the patient is currently taking for 4 of 7 sample patients, Patient ID #’s 2, 3, 5, and 6. Findings area as follows: 1. Record review of the medications for Patient ID #2, during a home visit accompanied by…
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The agency failed to ensure that all patient care orders, including verbal orders, are recorded in the plan of care for 3 of 17 records for patient's ID #'s 1, 3, and 5. Findings are as follows: 1. Record review for patient ID #1, revealed a start of care date 3/17/2021, and a certification and…
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The agency failed to provide services and treatments in accordance with physician's orders for 1 of 3 patient's, ID # 1, 5 & 12 relative to home health aide services, gastrostomy tube (G-Tube)/feedings, and services of a Social Worker.
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The agency failed to revise the plan of care to reflect current information from the patient's updated comprehensive assessment, for 2 of 12 patient' s records reviewed, ID #'s 6 and 7. Findings are as follows: 1. Record review for Patient ID # 6's plan of care certification dated 3/20/2022-…
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The facility failed to conduct on-site supervisory visits no less frequently than every 14 days for 1 of 1 Patient, ID #1 receiving Home Health Aid services.
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The agency failed to send a discharge and or transfer summary to the appropriate health care professional when patients are discharged for 3 of 5 Patient's, ID #'s 13,16 and 17. Findings are as follows: 1. Record review for Patient ID # 13, reveals he/she was admitted to the agency on 8/25/2020…
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