Venerate Home Health Express, LLC

The agency failed to ensure that the Emergency Preparedness Plan had policies and procedures for patient data management and information sharing for all patients and employees.

The agency failed to ensure its Emergency Preparedness communication plan included current employee and physician contact information for all patients and employees.

The agency failed to ensure an emergency preparedness training program was developed, implemented and reviewed at least annually for all employees.

The agency failed to ensure transfer or discharge summaries were completed for two (Patients #3 and #4) of nine patients.

The agency failed to ensure the QAPI Program included patient indicator data for all patients and employees.

The agency failed to ensure baseline and goal measurements of the QAPI performance improvement projects for all patients and employees.

The agency failed to ensure governing body oversite of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure a POC included a SN visit frequency duration for four (Patients #1, 2, 3 and #4) of nine patients.

The agency failed to ensure a transfer or discharge summary was provided to the receiving service providers for two (Patients #3 and #4) of nine patients.

The agency failed to ensure completion of a transfer/discharge summary for one (Patient #5) of five 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 conduction of patient centered QAPI Program activities 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 governing body oversite of the conduction of patient centered QAPI Program activities 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 COVID pandemic related policies and procedures were in place for all patients and staff.

The agency failed to ensure governing body oversite of: 1. A patient centered QAPI Program; 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar years 2021 and 2022; and 3. Agency program evaluation for calendar years 2021 and 2022 effecting all…

The agency failed to ensure individualized patient POC included: 1. SN visit frequency and duration of nursing services for one (Patient #1) of five and; 2. Updated medication dose changes for one (Patient #4) of five patients.

The agency failed ensure update of the POC to include orders to decrease the SN visit frequency to two times a week, effective 03/16/23 for one (Patient #2) of five patients.

The agency failed to ensure SN visits were ordered by the physician for one (Patient #5) of five patients.

The agency failed to ensure SN visit notes were completed for one (Patient #3) of five patients.

The agency failed to ensure a completed transfer/discharge summary was provided for one (Patient #5) of five patients.

The agency failed to ensure disease management instructions on the POC's were followed for five (Patients #3, 4, 5, 6, and #7) of seven patients.

The agency failed to perform infection control surveillance as a part of the infection control program 17 patients and all staff members.

The agency failed to ensure the medication profile was updated for one (Patient #7) of seven patients.

The agency failed to obtain a physician's order for the use of a wound care material for one (Patient #6) of seven patients.

The agency failed to ensure documentation of SN visit notes were completed for one (Patient #4) of seven patients.