Suncrest Home Health

The Home Health Agency (HHA) failed to ensure the timely submission of OASIS (Outcome and Assessment Information Set) to IQIES (Internet Quality and Improvement and Evaluation System).

The Home health Agency (HHA) failed to produce a discharge summary and failed to ensure a discharge summary had been sent to the physician within five days of the patient’s order for discharge for two of two patients reviewed, (Patient (P)8 and P9), for completion of the discharge summary.

The Home Health Agency(HHA) failed to document when the HHA's Emergency Preparedness Program Plan(EPP) was last reviewed and updated.

The SN failed to make some outcomes on the Plan Of Care (POC) measurable in two out of two charts reviewed with Aide services (Patient #1 and #6).

The Skilled Nurse (SN) failed to follow the Plan Of Care (POC) orders in four out seven patient charts reviewed (Patient #1, #4, #5, and #7).

The Agency failed to update the Plan Of Care (POC) in one out of one chart with a benefit period beyond the initial benefit period (Patient #1).

The SN failed to make Aide assignment tasks specific (frequency of task) in two out two charts reviewed with Aide services (Patient #1 and #6).

The Skilled Nurse (SN) failed to document patient’s rights and advanced directive information given and explained to patient in one out of seven charts reviewed (Patient #6).

The agency failed to include psychosocial data on the individualized Plan of Care (POC) for seven out of seven patient charts reviewed (Patient #1, #2, #3, #4, #5, #6, and #7).

The Skilled Nurse (SN) failed to document supervisory visits for the Aide one out of two charts reviewed with Aide services (Patient #1).

The Home Health Agency (HHA)failed to update its Emergency Preparedness Program (EPP) annually.

The HHA failed to provide a risk assessment for the counties serviced that included Chesterfield, Darlington, and Marlboro.

The agency failed to identify an Emergency Preparedness Program (EPP) priority Level on 4 of 7 patient records reviewed.

The agency failed to provide collaboration with the local emergency preparedness officials.

The agency failed to update the policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update the policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update its policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update the policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update its policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update its policies and procedures annually for Emergency Preparedness Program (EPP).

The agency failed to update the communication plan annually for Emergency Preparedness Program (EPP).

The agency failed to update the communication plan with names and contact information annually for its Emergency Preparedness Program (EPP) with entities under arrangement.

The agency failed to update the communication plan with emergency officials contact information annually for Emergency Preparedness Program (EPP).

The agency failed to update the communication plan for alternate means for communication annually for Emergency Preparedness Program (EPP).

The agency failed to update the communication plan with methods for sharing of information annually for its Emergency Preparedness Program (EPP).

The agency failed to update its EPP communication plan for sharing information on occupancy/needs annually for its Emergency Preparedness Program (EPP).

The agency failed to provide documentation of the training of agency staff on the agency's Emergency Preparedness Program (EPP).

The HHA failed to provide documentation of the conduction of exercises to test the agency's Emergency Preparedness Program (EPP).

The Home Health Agency(HHA) staff failed to comply with physician orders for documentation of pain level and temperature during patient visits for five of seven patient records reviewed for care and services.

The Home Health Agency (HHA) failed to instruct their staff in following accepted standards of practice to prevent the potential transmission of infectious agents in regard to hand hygiene, appropriate use of Personal Protective Equipment (PPE), and the cleaning of reusable medical equipment…

The Home Health Agency (HHA) failed to obtain the date on the Consent for Treatment and Release of Information at the patient's Start of Care (SOC) thus questioning the patient's agreement and participation in their own care for one of seven patient records reviewed for care and services.

The Home Health Agency(HHA) staff failed to comply with physician orders for documentation of the patient's temperature during patient visits for 2 of seven patient records reviewed for care and services.

The Home Health Agency(HHA) Registered Nurse(RN) failed to perform HHA Aide supervisory visits every fourteen days for two of two patient charts reviewed for Aide services.

The HHA failed to provide documentation of the appointment of an administrator by the governing body.

The Home Health Agency (HHA) failed to maintain overall responsibility for services provided by having a written agreement with another agency, with an organization or with an individual when that entity or individual furnished services for patient's under arrangement for the HHA for 1 of 7…