Utah Homecare, LLC DBA Salus Home Health

The home health agency (HHA) failed to fully implement, maintain, and document an emergency preparedness (EP) program.

The home health agency (HHA) failed to maintain a home health-wide, data-driven quality assurance and performance improvement (QAPI) program.

The home health agency (HHA) failed to implement, maintain and document an infection prevention and control program.

The home health agency (HHA) failed to ensure their home health aides were qualified and deemed competent prior to providing patient care.

The home health agency (HHA) failed to provide necessary oversight and supervision of the HHA.

The home health agency (HHA) did not ensure that the comprehensive assessment was updated and revised for 1 of 16 sample patients.

The home health agency did not ensure there was care coordination between the HHA and the hospice agency providing concurrent are for 1 of 16 sample patients.

Specifically, required observation of the aides performance with a patient prior to furnishing home health services on behalf of the HHA was not documented as being completed.

The home health agency (HHA) could not provide evidence that the required in-service training of at least 12 hours during each 12-month period for 1 of 10 sampled home health aides had occurred.

The home health agency (HHA) did not have a governing body (GB) that had assumed responsibility for the overall operation of the agency.

The home health agency (HHA) did not ensure that patients received all services outlined in their plan of care (POC).

The agency did not include information related to any advanced directives on the plan of care (POC) for 16 of 16 patients.

The home health agency (HHA) did not include all patient care orders on the plan of care for 1 of 16 sample patients.

The home health agency (HHA) did not ensure that home health aides were qualified to furnish services to patients.

All nine employee personal files did not contain evidence that an annual on-site visit had been completed.

The home health agency (HHA) did not complete an initial competency assessment of skills for a registered nurse (RN) prior to providing care to the patients for 3 of 3 employees . (Employee identifiers: 10,11 and 16.) Findings include: 1. On 11/20/18, a review of employee 10, 11 and 16 personnel…

The agency did not ensure each patient received home health services as written in an individualized plan of care.