Unity Home Health LLC

The agency failed to submit OASIS assessments within 30 days as required of completing the assessment.

The agency failed to maintain a current CLIA (Clinical Laboratory Improvement Amendment) certificate as required to conduct laboratory testing.

The PT (Physical Therapist) failed to conduct the initial evaluation timely as part of the comprehensive assessment for one (#4) of seven (#1-#7) records reviewed.

The agency failed to include all medications the patient was currently using on the medication profile for one (#6) of seven (#1 - #7) records review.

The agency failed to complete interventions as ordered on the POC for five (#1 - #5) of seven (#1- #7) records reviewed.

The agency failed to ensure a community-based risk assessment (All Hazards Risk Assessment) that identified the agency and a date the assessment was developed, implemented and/or was review for all patients and employees.

The agency failed to ensure development of an episodic Plan of Care after a recertification OASIS assessment for one (Patients #7) of seven patients.

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

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for calendar years 2021 and 2022 for all patients and employees.

The agency failed to ensure its infection control program included surveillance monitoring and reporting and was included in QAPI program activities for all patients and staff.

The agency failed to ensure the development of a home health aide care plan for one (Patient #5) of seven.

The agency failed to ensure an individualized patient POC included pain reporting parameters for three (Patients #1, 4 and #5) of seven patients.

The agency failed to obtain physician orders for an SN visit frequency and duration for one (Patient #3) of seven patients.

The agency failed to ensure services were provided as ordered on the POC for: 1. OT evaluation conducted for one (Patient #4) of seven patients and; 2. CHHA visit frequency for one (Patient #5) of seven.

The agency failed to ensure certified home health aide supervisory visits were completed every 14 days for four (Patients #1, 2, 4 and #5) of seven patients.

The agency failed to ensure a completed transfer/discharge summary was provided for two (Patients #3 and #7) of seven patients.