Southwest Medical Associates Home Health

The Home Health Agency (HHA) failed to ensure evidence of participation in any emergency preparedness (EP) in-services/drills and demonstrate staff knowledge of emergency procedures for seven of seven employees.

The facility failed to ensure that the EPP process included at least one testing exercise on an annual basis, which may be either one community-based full-scale exercise, if available, or an individual facility-based functional exercise.

The agency failed to ensure the medical record accurately reflected current medication orders in place for 3 of 7 sampled home visit patients (Patient (P) 15, P16, and P17) reviewed for medication reconciliation.

The home health agency (HHA) failed to include patient infection surveillance data in the quality assurance and performance improvement (QAPI) program.

The home health agency (HHA) failed to maintain an infection control surveillance program that included tracking, trending, identification, and analysis of patient infections.

The Home Health Agency (HHA) facility failed to identify the medications the patient was currently using; including both prescription and non-prescription for potential adverse effects, drug interactions, ineffective therapy, and noncompliance with drug therapy.

The Home Health Agency (HHA) facility failed to consistently perform measurements on non-pressure related skin wounds.

The Home Health Agency (HHA) failed to ensure missed clinician visits were documented as missed, and the physician was notified of the missed visit(s) for five (5) of seventeen (17) sampled patients, Patients 1, 6, 11, 12, and 17 as directed in the plan of care and per physician's orders.