Tehc LLC

The Home Health Agency failed to submit OASIS assessments to the CMS system within 30 days of completion for 21.09% of 2025 first quarter (01/01/25 to 03/31/25) submissions and 17.84% of 2024 calendar year submissions.

The provider failed to record all patient care orders in the plan of care for 1 out of 10 Sampled Patients (SP).

The home health agency (HHA) failed to ensure the clinical record included a completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer for 3 out of 10 Sampled Patient (SP).

The Home Health Agency failed to develop an individualized Plan of Care (POC) for 1 out of 3 Sampled Patients (SP#2).

The Home Health Agency failed to ensure that a registered Nurse (RN) conformed with the physician’s order for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to supervise the Skilled Nursing (RN) services provided by a Registered Nurse after he administered an intravenous antibiotic that was not prescribed to 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that Staff A conducted a review of all the medications that 1 out of 3 Sampled Patients (SP) was using.

The Home Health Agency failed to assure that Staff A communicated/ reported that he administered an antibiotic which was not prescribed to 1 out of 3 Sampled Patients (SP)’s physician.

The Home Health Agency failed to provide services that are ordered by the physician or allowed practitioner as indicated in the plan of care to 1 out of 3 Sampled Patients (SP).

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and Volunteers.

The provider failed to maintain documentation of the staff training.

The provider failed to demonstrate tabletop exercises that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 3 out of 5 Sampled Patients(SP) with home visits made.

The provider failed to ensure the clinical record contained pertinent past and current findings in accordance with accepted professional standards is maintained for every patient receiving home health services for 1 out of 14 Sampled Patient (SP).

The provider failed to ensure the patients are informed in advance of the disciplines' frequency of visits that will furnish care for 14 out of 14 Sampled Patients (SP).

The provider failed to include in the individualized plan of care (POC) the patient-specific interventions and education on 1 out of 14 Sampled Patients (SP).

The provider failed to have a policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of a Home Health Agency only after that individual has successfully completed a competency evaluation program for 4 out of 5 personnel files reviewed.

The provider failed to maintain a written agreement with an individual when that entity or individual furnishes services under arrangement to the Home Health Agency's (HHA) patients.

The home health agency staff failed to provide service in accordance with accepted professional standards of practice for 2 out of 5 Sampled Patients (SP) with home visits made.

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency within 5…

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster…

The provider failed to develop and implement emergency preparedness policies and procedures addressing a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures addressing the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that includes contact information for (i) Federal, State, tribal, regional, and local emergency preparedness staff and (ii) Other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to ensure that 5 out of 12 (A, B, D, K, L) sample employees participated in the initial emergency preparedness training; the provider failed to show that 7 out of 7 (C, E, F, G, H, I, J) sample employees that participated in the training demonstrated knowledge of the home health…

The provider failed to conduct exercises to test the emergency plan . The provider failed to conduct a full-scale exercise that is community-based and/or an individual facility-based exercise.

The provider failed to ensure the care follows the written plan of care established by the physician on 1 out of 3 Sampled Patients (SP) with home visit made.

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure the clinical record includes clinical notes that are legible and clear for the safe and adequate care of the patients for 1 out 7 Sampled Patient (SP).

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (v) Quality Improvement Organization for 5 out of 5 Sampled Patient (SP) actively receiving care from the Home…

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits done.

The home health agency staff failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).

The provider failed to ensure that 5 out of 7 (F, G, H, K, L) skilled professionals participated in all in-service training sessions.

The provider failed to maintain responsibility the services provided under arrangement, and the manner in which the services were furnished by 4 out of 4 contract employees (K, L, M, N).

The provider failed to maintain responsibility over services provided by 4 out of 4 contract employees (K, L, M, N).

The home health agency staff failed to provide service in accordance with current clinical practice guidelines and accepted professional standards of practice for 1 out of 3 Sampled Patients(SP) with home visits made.