Superior Home Health Care Inc.

The Home Health Agency failed to meet the Condition of Participation for Skilled Professional Services.

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the Center for Medicare and Medicaid Services (CMS) system within 30 days of completion.

The agency failed to ensure the OASIS (Outcome and Assessment Information Set) data accurately reflected the patient's status at the time of assessment.

The agency failed to ensure the Registered Nurse (RN) provided Skilled Professional Services in accordance with current clinical practice guidelines as set forth by the Louisiana State Board of Nursing (LSBN) Declaratory Statement for Scope of Practice for Registered Nurses - Wound Care Management…

The agency failed to ensure Skilled Nurse entries were completed for 3 (#5, #10, and #12) of 17 (#1-#17) patient records reviewed.

The agency failed to provide the patient and/or legal representative with the Administrator’s name in order to file complaints for 4 (#1, #2, #3, and #6) of 6 (#1, #2, #3, #4, #5, and #6) home visits conducted.

The agency failed to ensure a patient’s comprehensive assessment included a review of all medications currently in use.

The agency failed to ensure the comprehensive assessment was updated within the last 5 days of every 60-day episode for 1 (#12) of 17 (#1-#17) patient records reviewed.

The agency failed to ensure orders from the Provider for Home Health Aide Services were integrated into the Plan of Care (POC) to ensure all services and interventions were provided to the patient for 2 (#4 and #10) of 3 (#4, #9, and #10) patients reviewed with orders for Home Health Aide Services.

The agency failed to provide the patient and caregiver with the Clinical Managers name in order to discuss their services for 4 (#1, #2, #3, and #6) of 6 (#1, #2, #3, #4, #5, and #6) home visits conducted.

The agency failed to provide services as ordered by the physician in the Plan of Care (POC) for 2 (#2 and #4) of 17 (#1-#17) patient records reviewed.

The agency failed to ensure the physician was notified of a patient's vital signs outside of the established parameters per the Plan of Care (POC) for 2 (#2 and #8) of 17 (#1-#17) patients reviewed for care and services provided per the POC.

The agency failed to provide nursing services under the supervision of a Registered Nurse (RN) for 1 (S4LPN) of 1 Licensed Practical Nurses (LPN) personnel file reviewed for supervisory visits.

The agency failed to ensure a completed discharge summary was sent to the patients primary care practitioner (PCP) or other health care professional responsible for providing care and services to the patient after discharge within 5 business days of the patient’s discharge from the agency for 6 of…

The home health agency failed to ensure the RN provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 3 (#1, #4, and #5) of 4 (#1, #2, #4, and #5) patients reviewed for Pressure Ulcers.

The home health agency failed to ensure the RN provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 3 (#8, #9, and #10) of 3 (#8, #9, and #10) patients reviewed for pressure ulcers.

The agency failed to ensure the patient's comprehensive assessments included a review of all medications the patients were currently using.

The agency failed to ensure the patient's written Plan of Care was followed as evidenced by Home Health Aide visits not conducted as ordered for 1(#11) of 2(#1 and #12) sampled patient records reviewed with orders for Home Health Aide services.

The agency failed to communicate with the MD for 1(#1) of 2(#1 and #12) patients reviewed for Home Health Aide visits.

The HHA failed to ensure staff followed accepted standards of infection control practices for 4 (Patients #2, #4, #6, #8) of 5 (Patients #2, #4, #6, #8, #12) patients observed during home visits.

The agency failed to ensure that Nursing Services were provided to meet the needs of 1 (#8) of 3 (#8, #10, #16) sampled patients reviewed for wound care.

The agency failed to ensure the patients' comprehensive assessments included a review of all medications the patients were currently using.

The agency failed to ensure the total plan of care and/or physicians' orders were signed and dated by the patient's physician in a timely manner for 5 (#1, #5, #6, #16, #18) of 19 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19) sampled patients reviewed.

The agency failed to promptly alert the physician regarding the patient's noncompliance with medication reconciliation for 1 (#8) of 5 (#2, #4, #6, #8, #12) patient's medications reviewed during subsequent home visits.