Team Select Home Care of Indiana, LLC

The agency’s communication plan failed to include contact information for emergency officials for all counties served for 1 of 1 agency.

The home health agency failed to ensure staff followed hand hygiene policies and procedures for 3 of 3 home visit observations (RN 2, RN 3, and CNA 1).

The home health agency failed to conduct an initial assessment within 48 hours of referral for 5 of 5 active patients admitted after 01/11/2024 (Patient #2, 3, 4, 6, and 7).

The home health agency failed to ensure provider orders were obtained prior to providing services for 5 of 7 active patient records reviewed (Patient #2, 3, 4, 6, and 7).

The agency failed to notify the physician (or allowed practitioner) of the likelihood of discharge for 2 of 2 patients discharged from agency branch locations (Patients #5 and 10).

The agency failed to provide patients with medication instructions in plain, non- medical language for 4 of 7 active patient records reviewed (Patients #1, 2, 6, and 8).

CNA 1 failed to follow her scope of practice by applying medicated products for 1 of 1 home observation of a bed bath (Patient #8).

The home health agency failed to ensure the Emergency Preparedness Plan (EPP) included a process to engage in collaborative planning with local officials for an integrated emergency response for 1 of 1 agency.

The home health agency failed to ensure the Emergency Preparedness Plan (EPP) included procedures to inform state and local emergency officials about homebound patients in need of evacuation from their residences during an emergency for 1 of 1 agency.

The home health agency failed to ensure the communication plan included a list of all employees and phone numbers and failed to include a list of all active patients and phone numbers for 1 of 1 agency.

The home health agency failed to ensure the Emergency Preparedness Plan (EPP) included the use of volunteers or identified how other emergency personnel would be utilized in the emergency communication plan for 1 of 1 agency.

The home health agency failed to ensure the Emergency Preparedness Plan (EPP) included a procedure to release patient information in the event of an emergency for 1 of 1 agency.

The home health agency failed to participate in a full-scale community-based exercise or a tabletop exercise in the past year for 1 of 1 agency.

The home health agency failed to review the plan of care (POC) with the attending physician at least every 60 days for 1 of 2 active clinical records reviewed with a recertification in the last 30 days (Patient #3).

The home health agency failed to ensure all staff followed accepted standards of practice and agency policies and procedures to prevent the transmission of communicable diseases for 1 of 3 home health aide (HHA) home visits observed (Patient #3).

The home health agency failed to ensure all services were provided as ordered in the plan of care (POC) for 2 of 5 active records reviewed (Patient’s #4 and #5) and 1 of 2 discharged records reviewed (Patient #6).

The home health agency failed to ensure an initial assessment was completed by a registered nurse (RN) within 48 hours for 2 of 2 active patients reviewed with SOC in the last 7 months (Patient #3 and 4).

The home health agency failed to ensure a complete and accurate medication review of all current as needed (PRN) medications for 1 of 5 active patient records reviewed (Patient #1).

The home health agency failed to ensure that the recertification plan of care (POC) was created, reviewed and signed by the provider for 1 of 2 active clinical records reviewed with recertification in the last 30 days (Patient #3).

The home health agency failed to ensure frequency orders were received and recorded prior to staff providing services for 5 of 5 active records reviewed (Patients #1, 2, 3, 4 and 5).

The home health agency failed to ensure all verbal orders were entered into the electronic medical record and sent to the physician for signature for 5 of 5 active charts reviewed (Patients #1, 2, 3, 4 and 5).

The home health agency failed to ensure that the recertification plan of care (POC) was reviewed by the physician at minimum of every 60 days for 1 of 2 active clinical records reviewed with recertification in the last 30 days (Patient #3).