Sunny Brook Home Care

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles at the time of orientation and every other year thereafter for all staff.

The agency failed to ensure electronic signatures included staff credentials for 3 of 7 sampled patients (Patients #1, #4 and #6).

The agency failed to ensure accurate and thorough completion of pertinent components of the initial comprehensive assessment for 1 of 2 sampled patients with wound care.

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 3 sampled patients requiring a resumption of care assessment (Patient #4).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 2 of 3 sampled patients with surveyor home observation visits (Patients #2 and #3).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 4 of 4 sampled patients with new verbal/interim orders.

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 2 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patient #4).

The agency failed to ensure the clinical record included the patient's Patient Service Agreement form for 3 of 3 sampled patients admitted in 2022 or later (Patients #3, #5 and #6).

The agency failed to ensure that all patient clinical record documentation was maintained in a secure and confidential manner and was uploaded to the electronic medical record for 1 of 3 sampled patients who received home care services from the agency.

The home health agency failed maintaining documentation of the plan in the patient's chart, for 10 of 10 sampled patients (Patients #1, #2, #3, #4, #5, #6 #7, #8, #9 and #10).

The agency failed to ensure the development of a procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles.

The agency failed to ensure participation in two emergency preparedness exercises (a full-scale exercise that is community based or actual event, and an additional exercise on the opposite year of the full-scale or functional exercise which may be full-scale, mock disaster drill, or tabletop…

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 4 of 10 sampled patients (Patients #3, #6, #7…

The agency failed to ensure 2 of 4 sampled home health aides (Staff L and M), demonstrated completion of all of the required basic skills while observed by a registered nurse to determine competency in each task prior to being allowed to care for agency patients independently.

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 2 of 5 sampled patients receiving home health aide services (Patients #6 and #7).

The agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to ensure agency patients and/or patient representative received proper written notice, in advance of a service being furnished, if the agency believes the service may be non-covered for 1 of 1 patients with private insurance (Patient #1).

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 4 of 6 sampled patients requiring a recertification assessment (Patients #3, #7, #9 and #11).

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment (Patient #13).

The agency failed to ensure completion of all required components of the discharge comprehensive assessments within 2 calendar days of identification of the need to discharge a patient for 1 of 2 sampled patients requiring a discharge comprehensive assessment (Patient #8).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and accurate medication orders for 7 of 10 sampled patients (Patients #1, #2, #3, #5, #6, #7, and #9).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 5 of 5 sampled patients with new verbal/interim orders.

The agency failed to provide medications, treatments or services only as ordered by the physician for 2 of 10 sampled patients (Patients #6 and #9).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 5 sampled patients receiving home health aide services…

The agency failed to ensure agency staff completed documentation in a timely manner and according to the agency policy for 3 of 10 sampled patients (Patients #3, #6 and #7).

The agency failed to complete and send a transfer summary to the physician caring for the patient at the inpatient facility after transfer within 2 business days of the patient's transfer and/or failed to complete and send a discharge summary to the physician and other health care professionals who…

The agency failed to notify the physician of changes in visit frequency ordered on the Plan of Care (missed visits) for 1 of 6 sampled patients (Patient #6).

The agency failed to ensure agency staff informed a patient and/or patient's representative of changes in the care furnished to the patient and ensure the patient/representative consented to those changes for 1 of 6 sampled patients (Patient #3).

The agency failed to ensure the documentation of complaints and the resolution of a complaints made by agency patient for 2 of 6 sampled patients (Patients #3 and #6).

The agency failed to ensure staff took action to resolve complaints for 2 of 7 sampled patients (Patients #3 and #6).

The home health agency failed to ensure the patient and/or representative received a written visit schedule which included frequency of visits by agency personnel for 2 of 6 sampled patients (Patients #3 and #6).

The home health agency failed to ensure patients received a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7) with a clinical record review which included a comprehensive…

The agency failed to ensure training in emergency preparedness to all existing staff and individuals providing services under arrangement.

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/or failed to ensure the Plan of Care contained current, accurate information for 6 of 10 patients sampled (Patients #1, #2, #3, #4, #6 and #8).

The agency failed to administer treatments only as ordered by the physician for 3 of 10 sampled patients (Patients #2, #6 and #8).

The agency failed to ensure registered nurses provided care as ordered by the physician in the Plan of Care for 6 of 10 sampled patients receiving a skilled nursing service (Patients #1, #2, #3, #4, #8 and #9).