The Best Care Ever Home Health, Inc

The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Patient Rights was met by failing to: 1. Provide the information related the the care and notice of patient's rights in a language that the patients and the primary caregiver (PCG) can understand, for two of six…

The hospice agency failed to ensure the Condition of Participation for Comprehensive assessment of patients was met as follows: 1. The Home Health Agency (HHA) failed to ensure two out of six sampled patients (Patient 1 and 2) meet the home bound status and was eligible for the Medicare home health…

The agency failed to ensure that the Condition of Participation regarding Care Planning, Coordination of Services, and Quality of Care was met as follows: 1. The HHA failed to implement the physician's order to take, monitor, and document the blood pressure, and report elevated blood pressure…

The agency failed to ensure the Condition of Participation for Organization and Administration Of Services was met as follows: 1. The Home Health Agency (HHA) failed to provide evidence that they had a governing body that assumed full legal authority and responsibility for the overall management…

The agency failed to ensure that the Condition of Participation regarding Clinical Records was met as follow: 1. The Home Health Agency (HHA) failed to ensure the clinical records for three of six sampled patients (Patient 4, Patient 5, and Patient 6) contained a complete and accurate comprehensive…

The Home Health Agency (HHA) failed to implement the physician's order to take, monitor, and document the blood pressure, and report elevated blood pressure readings to the physician for one of six sampled patients (Patient 1).

The Home Health Agency (HHA) failed to provide evidence that they had a governing body that assumed full legal authority and responsibility for the overall management and operation of the agency.

The Home Health Agency (HHA) failed to hire and appoint an administrator who would report to the governing body (designated persons that are responsible for the agency's overall management and operation), must ensure that a clinical manager is available during all operating hours, must ensure that…

The Home Health Agency ( HHA) failed to ensure a qualified individual was able to provide oversight of all patient care services and personnel.

The Home Health Agency (HHA) failed to show and provide evidence of an annual budget plan, capital expenditure plan, and overall operating plan for the agency under the direction of a governing body (a groups of people who formulate the policy and the direct affairs of the institution). the agency…

The Home Health Agency (HHA) failed, for two of six sampled patients (Patient 1 and Patient 2), to provide the information related the the care and notice of patient's rights in a language that the patients and the primary caregiver (PCG) can understand.

The Home Health Agency (HHA) failed to provide Skilled Nurse (SN) visits schedule to two of six sampled patients (Patient 1 and Patient 2).

The Home Health Agency (HHA) failed, for two of six sampled patients (Patient 1 and Patient 2), to ensure the patients met the criteria for home health services.

The the Home Health Agency (HHA) failed to conduct a comprehensive and accurate assessment of the current health status for three of six sample patients (Patent 4, Patient 5, and Patient 6).

The Home Health Agency (HHA) failed to teach and document appropriate pain management regimen for one of six sampled patients (Patient 1).

The Home Health Agency (HHA) failed to provide the patient and patient caregiver (PCG) a list of their medications and instructions for two of six sampled patients (Patient 1 and Patient 2).

The Home Health Agency (HHA) failed to appoint an administrator, who would report to the governing body (designated persons that are responsible for the agency's overall management and operation).

The Home Health Agency (HHA) failed to appoint an administrator who would be responsible for the daily operations of the agency.

2. On 1/14/2021 at 4 p.m., during an interview with the CEO/Owner of the HHA, she stated she was in the process of hiring a clinical manager but was not successful since 2019. On 1/19/2021 at 10 a.m., during an interview with the CEO/Owner via telephone, she stated she did not have any documented…

The Home Health Agency ( HHA) failed to appoint a qualified, pre-designated person that is approved by the a governing body (designated persons that are responsible for the agency's overall management and operation) in writing to assume the duties and responsibilities of an administrator in the…

The Home Health Agency ( HHA) failed to have an administrator or a pre-designated person available during all operating hours.

The Home Health Agency (HHA) failed to ensure the clinical records for three of six sampled patients (Patient 4, Patient 5, and Patient 6) contained a complete and accurate comprehensive assessment, physician order, and social worker notes.

The Home Health Agency (HHA) failed to re-evaluate the progress of two of six sampled patients (Patient 5 and Patient 6) after meeting the goals of physical therapy (a care that aims to ease pain and help you function, move, and live better) and for continued need of physical therapy after the…