Vanura Home Health Services, Inc

The facility failed to ensure medication reconciliation (a review of all medications the patients were taking) was conducted for one of five sampled patients (Patient 4) when there was a discrepancy between Patient 4’s plan of care (an individualized treatment plan) and Patient 4's medication…

The agency failed to ensure Certified Home Health Aide 1 (CHHA 1) furnished care in a safe and effective manner for one of one patient (Patient 5) when CHHA 1 was not aware of Patient 5’s specific vital sign (VS- basic measurements that show how well a person’s body is working that includes…

The home health agency failed to conduct and document performance improvement projects (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) at…

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for one of ten sampled patients (Patient 3) when the RN did not perform an on-site (in-home) supervisory visit at least every 30 days during the recertification period of…

The agency failed to ensure that the Condition of Participation: E 001 484.22 Establishment of the Emergency Program (EP) was in compliance as follows: 1. Based on interview and record review, the agency failed to conduct and document a community-based and/or facility-based risk assessment…

The agency failed to conduct and document a community-based and/or facility-based risk assessment (community/facility-based includes, but is not limited to, hazards specific to a facility based on the geographic location; patient population; facility type and potential surrounding community assets…

The agency failed to provide for the continuity of operations during an emergency when a succession of authority plan (a plan indicating who will take control in the absence or inability of another) was not in place for 14 of 14 months reviewed, in a universe of 310 patients.

The agency failed to develop a policy and procedure to collaborate with local, regional, State, and Federal emergency preparedness officials to cooperate in the planning efforts and maintain an integrated response during a disaster or emergency for 14 of 14 months reviewed, in a universe of 310…

The agency failed to develop procedures to inform emergency preparedness officials about patients in need of evacuation and the needs the patients would require during the evacuation process, for 14 of 14 months reviewed, in a universe of 310 patients.

The agency failed to develop a back-up communication plan with Federal, State, tribal, regional and local emergency management agencies in the event of communications (phone service, including cellular phone and Internet) failure during a disaster or emergency, for 14 of 14 months reviewed, in a…

The agency failed to develop a procedure to provide information about the agency's occupancy and staff available to help during an emergency or disaster to the authority having jurisdiction, for 14 of 14 months reviewed, in a universe of 310 patients.

The agency failed to maintain documentation of drills, tabletop exercises and emergency events that showed an analysis of the agency's response to the testing and revision of the emergency plan as needed, for 14 of 14 months reviewed, in a universe of 310 patients.

The agency failed to provide Skilled Nursing (SN- a Registered Nurse-RN or a Licensed Vocational Nurse-LVN) services as ordered by a physician for one of 13 sampled patients (Patient 6) when an SN visit was not made as ordered and the physician was not notified.

The agency failed to ensure nursing assessments were authenticated (an individual's signature and title), dated and timed for four of 13 sampled patients (Patients 6, 7, 9 and 11).

The agency failed to ensure that medications were properly reviewed and reconciled for two (2) of five (5) sample home visit patients (Patient 2 and 4) when: 1. For Patient 2, the sliding scale indicated on the medication profile was not the sliding scale in use in the home.

The agency failed to perform a laboratory draw (a procedure in which a needle is used to take blood from a vein for laboratory testing), only as ordered by a physician, for one of 13 sampled patients (Patient 6), when the physician's order indicated to collect the specimen on December 23, 2019 and…

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for one of 13 sampled patients (Patient 9).

The facility failed to ensure that a Certified Home Health Aide (CHHA) supervisory visit by a Registered Nurse (RN) was conducted every 14 days for one (1) of 13 sampled patients (Patient 2).