United Home Health Care Inc

The agency failed to ensure development of a community-based risk assessment (All Hazards Risk Assessment) for 10 patients and current employees.

The agency failed to ensure SN provided insulin treatment as ordered for one (Patient #2) of seven patients.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 10 patients and current employees.

The agency failed to ensure the initial assessment was performed within 48 hours of the referral for two (Patients #5 and 6) of seven patients.

The agency failed to ensure an individualized patient POC included the frequency and duration of visits to be made for three (Patients #3, 5 and 7) of seven patients.

The agency failed to ensure: 1. HHA services were conducted as ordered for two (Patients #4 and 6) of seven patients; and 2. Social Worker service was conducted as ordered for one (Patient #6) of seven patients.

The agency failed to develop a patient centered QAPI.

The agency failed to develop a patient centered QAPI Program.

The agency failed to ensure the utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to develop PIPS to track adverse patient events.

The agency failed to develop performance improvement projects.

The agency failed to ensure an ongoing, comprehensive QAPI Program was developed, maintained and approved by the governing body.

The agency failed to: 1) ensure employees notified the physician of elevated pulse rate parameters for two (Patient #2 and 5) of eight patients, 2) obtain measurements of surgical incision for one (Patient #8) of eight patients.

The agency failed to develop performance improvement activities which focused on high risk or problem areas.

The agency failed to develop a QAPI program to identify potential threats to the health and safety of patients.

The agency failed to document performance improvement within the QAPI Program.