Star Care Home Health

The facility failed to meet the Condition of Participation to ensure that the patients medications were updated during the comprehensive assessment.

The facility failed to meet the Condition of Participation to ensure the plan of care was individualized and revised based on changes in the patient needs and condition.

The agency failed to ensure a process of emergency preparedness collaboration with the local emergency preparedness (EP) agency to confirm it is aware of the agency’s needs in the event of an emergency.

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and Local laws and must be reviewed and updated at least annually.

The agency failed to develop and maintain an emergency preparedness plan that complies with Federal, State, and local laws and must be reviewed and updated at least annually.

The agency failed to meet standard infection control requirements by not having a proper medical supply inventory management and monitoring system.

The agency failed to advise patients of their right to report complaints to the state toll free home health hotline for 2 (P (Patients) 1 and P4 of 7 (P1-P7) patients reviewed for understanding of how to report concerns to the state.

The agency failed to ensure that a registered nurse completed an initial assessment within 48 hours of receiving a referral from a provider for 3 (P (Patients) 1, P2, and P6) of 7 (P1-P7) patients reviewed for accurate and timely care.

The agency failed to maintain a current and accurate list of all prescribed and over the counter medications for 2 (P [Patients] 1 and P4) out of 7 (P1-P7) patients reviewed.

The facility failed to have an updated plan of care to include all changes throughout the certification period for 1 (P[Patients]4) of 7 (P1-P7) patients.

E0017 Based on observation, record review, staff interview and review of the agency's policy, the agency failed to ensure an individualized emergency plan was included in the patient's comprehensive assessment for seven (Patient (P)1, P2, P3, P4, P5, P6, and P7) of seven patient charts reviewed.

E0024 Based on staff interview and document review, the agency failed to ensure it developed policies and procedures for managing a staffing shortage during an emergency.

E0037 Based on document review and staff interview, the Home Health Agency (HHA) failed to maintain a training and testing program for employees related to the Emergency Preparedness (EP) Plan.

The facility failed to develop and emergency preparedness plan which has been updated annually which affects all patients.

The facility failed to ensure Home Health Aides (HHA's) had the required 12 hours of in-service training for 3 Staff (S#3-S#5) of 7 (S#2-S#8) personnel files reviewed.

The facility failed to communicate with the physician about the condition of patient wounds, patient's refusal to wear compression stockings and wound care procedures, who is responsible for the patient's home health plan of care, for 1 (P#8) of 8 patient records reviewed.

The facility failed to provide care consistently and appropriately based on standard of practice for 2 (P#s1 and 3) of 8 patient records reviewed.

The facility failed to integrate services, whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could effect treatment effectiveness and the coordination of care provided by all disciplines for 1 (P#2) of 7 patients reviewed.