Summit Home Health Care Inc

The agency failed to maintain and update their Emergency Preparedness Plan to reflect increased risk of infectious diseases as identified under the agency risk assessment.

The agency failed to actively participate with, or attempt outreach and planning with their collaborative partners in their service area in an effort to maintain an integrated response during a disaster or emergency situation.

The agency has failed to identify in their Emergency Preparedness Plan a process to communicate with state and local authorities of potential client needs during an emergency situation or event.

The agency failed to include in the communication plan for emergency preparedness a means of providing information about the agency's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to complete the required testing exercises for emergency preparedness during the period of the past two years.

The facility failed to ensure medication reconciliation was completed to include as needed medications and ensure medication changes were updated for 1 of 2 patients (P3) observed during medication set up.

The agency failed to ensure the plan of care (POC) included and individualized interventions and goals for skilled nursing services for 1 of 3 patients (P3) observed during home visits.

The facility failed to include in it communication plan a method for sharing information and medical documentation for patients under the agencies care, as necessary, with other health providers to maintain the continuity of care. or a means of providing information about the general condition and…

The agency failed to include in the communication plan for emergency preparedness a means of providing information about the agency's needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to provide services as ordered in the Plan of Care (POC) and failed to inform the physician of services that were not provided for 2 of 13 patients (P3, P11) reviewed for receiving services as indicated per the POC.

The agency failed to develop an abuse prevention policy which included a policy and procedure to ensure immediate (without delay) notification to Minnesota Adult Abuse Reporting Center (MAARC) of suspected and/or potential abuse.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 1 of 15 patients (P10) reviewed, in the sample.

The agency failed to correctly identify medications on the physicians plan of care that the patient was taking for 1 of 13 patients (P8) and failed to ensure a medication regimen review was completed and documented for 6 of 13 patients (P2, P3, P4, P12, P10, P11) selected for review of all current…

The agency failed to ensure timely communication between the nurse and the home health aide (HHA), was being completed for 1 of 1 patient (P10) reviewed, when the patient was refusing HHA visits, as ordered by the physician.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days by a registered nurse for 2 of 5 patients (P8, P11) who received skilled services.

The home health agency (HHA) failed to meet the Condition of Participation at 484.75, Skilled Professional Services.

The agency failed to consistently provide assistance with medication set up and skilled nurse services per physician order for 1 of 3 patients (P1) reviewed for conformance with the physician orders.

The agency failed to consistently complete medication review and reconciliation of orders prior to routine medication set up for 1 of 1 residents (P1) reviewed for medication administration.

The agency failed to provide skilled professional nursing services including medication set up/reconciliation, evaluation of health status, education based on blood glucose levels and physician notification for 1 of 3 patients (P1) reviewed for skilled professional nursing services.

The agency failed to conduct an accurate assessment that reflected a patient's skin status for 1 of 3 patients (P1) reviewed when an agency nurse assessed the patient as having no open areas however, hospital records indicated the patient did have an open area.