Commonwealth Healthcare at Home

The agency failed to ensure patients were informed about and consented to the disciplines that will furnish the care and/or the frequency of proposed visits in advance of starting care for four (4) of (13) patients in the survey sample (Clinical records #'s: 6, 7, 10 and 12).

The agency failed to have written evidence of advising on the extent of payment by Medicare, Medicaid or any other federally funded or federal aid program known to the agency for services that maybe expected or may not be covered for one (1) of (13) patients in the survey sample (Client record #7).

The agency failed to ensure the agency developed an individualized emergency preparedness plan as part of the comprehensive assessment for one (1) of 13 clinical records in the survey sample.

The agency staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) out of 13 clinical records in the survey sample (Clinical record: #5).