Trend Home Health Services

The Home Health Agency failed to investigate the allegation made by 1 out of 7 Sampled Patients (SP)'s relative.

The Home Health Agency failed to coordinate care delivery to assess 1 out of 7 Sampled Patients (SP) after the patient's relative alleged that a Home Health Aide (HHA) injured the patient.

The Home Health Agency failed to ensure a Registered Nurse (RN) or other appropriate skilled professional provided written patient care instructions for the Home Health Aide (HHA) to follow for 2 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that 1 out 7 Sampled Patients (SP)'s record contained the admission documents and consent forms for the most recent home health admission.

The Home Health Agency failed to establish a written agreement with the patient or the patient's legal representative specifying the sources of payment for 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to ensure that the patient participated in, be informed about, and consent or refuse care in advance of providing care to 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to furnished services for 3 out of 7 Sampled Patients' (SP) SP#1, SP#6, and SP#7. Findings include: Review of SP#1's record revealed she was admitted on 02/01/2019. Further record review revealed SP#1 received Home Health Aide (HHA) services from the agency.

The Home Health Agency failed to coordinate care delivery for 3 out 7 Sampled Patients (SP).

The Home Health Agency failed to coordinate care delivery for 3 out 7 Sampled Patients (SP).

The Director of Nursing failed to provide oversight of all patient care services assuring that patient needs are continually assessed for 1 out 7 Sampled Patients (SP) after the patient's relative alleged that a Home Health Aide (HHA) injured the patient.

The provider failed to provide the patient and representative (if any) of the right to be informed of the Home Health Agency's policies for transfer and discharge on 2 out of 4 Sampled Patients (SP).

The provider failed to develop an individualized plan of care (POC) that identifies patient-specific measurable outcomes and goals on 4 out of 4 Sampled Patients (SP).

The provider failed to ensure that the written instructions for the home health aide are prepared by the Registered Nurse in 4 out of 4 Sample Patients (SP).

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 2 out of 4 Sampled Patient (SP).

The provider failed to demonstrate it had provided written notice of the patient's rights and responsibilities, and the Home Health Agency's transfer and discharge policies for 2 out of 4 Sampled Patients (SP).

The provider failed to demonstrate it had obtain the patient's or legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 2 out of 4 Sampled Patients (SP).

The provider failed to demonstrate it had the patient(s) participate in, be informed about, and consent or refuse care in advance of and during treatment for 2 out of 4 Sampled Patients (SP).

The provider failed to demonstrate the patient and representative (if any) were provided with contact information for other agencies or providers who may be able to provide care for 1 out of 4 Sampled Patients (SP).

The provider failed to maintain in the clinical record documentation of efforts made to resolve the problem(s) for 1 out of 4 Sampled Patients (SP).

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 2 out of 4 Sample Patients (SP).

The provider failed to inform the patient(s) in writing in advance of the home health agency terminating on-going care in 1 out of 3 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The provider failed to document in the home health aide supervision the following elements: demonstrating competency with assigned tasks; complying with infection prevention and control policies and procedures; reporting changes in the patient's condition in 1 out of 3 Sampled Patients (SP).