Visiting Nurse Group, Inc.

The HHA failed to provide evidence that an individualized emergency preparedness plan was included in the comprehensive assessment and/or documented in the clinical record for seven (7) of seven (7) CR's reviewed: CR#1, CR#2, CR#3, CR#4, CR#5, CR#6, and CF#7. Findings include: The HHA's Emergency…

The HHA failed to conduct testing of the emergency preparedness plan annually.

The HHA failed to provide the criteria for transfer and discharge of patients from the HHA for seven (7) of seven (7) records reviewed: CR#1, CR#2, CR#3, CR#4, CR#5, CR#6, and CR#7. Findings include: The HHA's Patient Admission Packet reviewed on October 21, 2024 at 10:00 AM, which contained a…

The HHA failed to provide the patient with the names, addresses and telephone numbers of federally-funded and state-funded entities that service the area where the patient resides for seven (7) of seven (7) CR's reviewed; CR#1, CR#2, CR#3, CR#4, CR#5, CF#6, and CR#7. Findings include: The HHA's…

The completion of the initial assessment was not evident within 48 hours of referral for two (2) of seven (7) records reviewed: CR#5 and CR#7. Findings include: The HHA's Policy Admission/Readmission To Agency Services reviewed on October 21, 2024 at 11:00 AM states in part, "All patients are…

The HHA failed to ensure that a reassessment occurred within the last five (5) days of every sixty (60) day recertification period for three (3) of seven (7) CR's reviewed: CR#1, CR#2, and CR#3. Findings include: The HHA's Position Description for Field Nursing Supervisor reviewed on October 21…

The home health agency failed to ensure that the plan of care (POC) included the duration of visits to be made for seven (7) of seven (7) CR's reviewed: CR#1, CR#2, CR#3, CR#4, CR#5, CR#6, and CR#7. Findings include: The HHA's Policy Plan of Care - CMS#485 and Physician Orders reviewed on October…

The agency failed to ensure that competency and performance evaluations and tuberculosis education were completed annually and emergency preparedness training was conducted every two (2) years for one (1) of seven (7) PF's reviewed: PF#7, and failed to provide evidence of tuberculosis screening for…

The agency failed to complete a discharge summary for two (2) of two (2) discharged CR's reviewed: CR#4 and CR#5. Findings include: The HHA's Policy Discharge From Agency Services reviewed on October 21, 2024 at 11:30 AM reads in part, "A copy of the discharge summary is sent to the physician's…