Synergy Home Health Care
Inspection 2024-08-08
· Recertification · 18 deficiencies · CMS source report (PDF)The Agency failed to develop an emergency preparedness plan that must be reviewed, and updated at least every 2 years (See E 0004); failed to develop an emergency preparedness plan that was based on both a facility and community-based all-hazards risk assessment (See E 0006); failed to develop…
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The Agency failed to develop an Infection Control Program and monitor staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed for the last 3 years (See G 682), and failed to ensure the…
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The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every two years, resulting in Agency personnel not having updated and approved emergency procedures in the event of an actual emergency or disaster.
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The Agency failed to develop an Emergency Preparedness Plan that was based on both a facility and community-based all-hazards risk assessment, resulting in the potential to negatively affect the health and safety of all 7 patients currently serviced by the Agency in the event of an emergency or…
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The Agency failed to develop an Emergency Preparedness Plan that included language concerning the use of volunteers, as appropriate, and/or other emergency staffing strategies to address surge needs experienced during an actual emergency, resulting in the potential for the interruption in needed…
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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 every 2 years, resulting in the Agency's inability to ensure the coordination of patient care in the event of an actual…
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The agency failed to ensure all staff including contracted staff received initial training and training at least every two years in the agency's Emergency Preparedness Plan for 3 of 6 (Staff D, F, and J) personnel files reviewed, resulting in the agency's inability to ensure staff actions align…
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The Agency failed to provide documentation of its efforts to measure and analyze collected data used to track and trend quality indicators to assess measurable improvement concerning the provision of optimal patient care, resulting in the potential for unmet care needs for all 7 patients currently…
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The Agency failed to develop an Infection Control Program and monitor staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed for the last 3 years, resulting in no oversight concerning…
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The Agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the Agency's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential spread of…
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The agency failed to ensure 1 of 2 contracts (Contractor-1) met the requirements of section 1861(w) of the Act (42 U.S.C. 1395x(w)), resulting in the potential to adversely affect the finances of all patients that receive contracted services.
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The Agency failed to furnish Master of Social Work (MSW), Occupational Therapy (OT), Home Health aide (HHa) services as ordered in the physician's referral for home care in 1 (P-1) 1 record reviewed with MSW services ordered, out of a total sample of 8 records reviewed, resulting in an unaddressed…
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The Agency failed to ensure patients received written notice in advance of the Agency terminating care for 3 (P-1, P-6, P-8) of 3 discharge records reviewed, resulting in the inability of these Medicare beneficiaries to exercise their right to dispute the termination of home care services.
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The Agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 7 (P-1, P-2, P-4, P-5, P-6, P-7, P-8) of 8 records reviewed, resulting in incomplete clinical information needed in determining the needs of these patients and the potential for…
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The Agency failed to ensure the comprehensive assessment included a review of all medications to determine significant drug interactions with failure to notify the physician of potential drug interactions in 1 (P-8) of 8 records reviewed; and failed to perform a review of medications in 1 (P-1) of…
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The agency failed to ensure the update of the comprehensive assessment was complete for 2 (P-1, P-7) of 3 patients recertified for care or with a resumption of care, resulting in incomplete clinical information needed in determining the needs of these patients and the potential for unmet care needs.
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The agency failed to ensure the plan of care included all pertinent patient-specific interventions, safety precautions, reportable parameters, and measurable outcomes and goals for 4 (P-1, P-4, P-5, P-7) of 8 records reviewed, resulting in patients not receiving care specific to their individual…
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The Agency failed to ensure a transfer summary was sent to the receiving facility within 2 days of becoming aware of an unplanned transfer for 2 (P-1, P-7) of 2 records reviewed in which the patient was transferred, failed to ensure a discharge summary was sent to the physician within 5 business…
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