Vita LLC

The agency failed to: - Include all the required elements of an individualized plan of care (G574); - Include all patient care orders, including verbal orders, in the plan of care (G576); - Provide conformance with physician orders (G578); - Administer drugs, services, and treatments only as…

The agency failed to organize, manage, and administer its resources and staff.

The agency failed to ensure that individual plans for each patient were included as part of the comprehensive patient assessment in one (Record/Patient #3) of six records reviewed.

The agency failed to conform with physician orders when the treatments documented did not follow the orders on the plan of care (POC) in two (Records/Patients #2 and #5) of five records reviewed.

The agency failed to incorporate Centers for Disease Prevention and Control (CDC) Guidance for COVID-19 by ensuring policies and procedures were in place for screening persons entering the agency.

The agency failed to ensure that qualified individuals provided oversight of all patient care services and personnel.

The agency failed to provide the patient with written information of the charges for services that may not be covered and the charges the patient may be expected to make to the agency in one (Record/Patient #3) of six records reviewed.

The agency failed to conduct the initial assessment of the patient within 48 hours of the referral to home care, or on the physician ordered start of care date in two (Records/Patients #1 and #3) of five records reviewed.

The agency failed to ensure the patient's medications were reconciled during the start of care comprehensive assessment and that the medication profile was updated with medication changes in, three (Records/Patients #1, #2 and #3) of five full records reviewed.

The agency failed to include all the required elements of an individualized plan of care in, but not limited to, two (Records/Patients #1 and #4) of five full records reviewed.

The agency failed to ensure all patient care orders, including verbal orders, were recorded on the plan of care in one (Record/Patient #5) of six record reviews.

The agency failed to ensure staff obtained physician orders for medication and treatments which affected one (Record/Patient #2) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in two (Records/Patients #1 and #5) of five records reviewed.

The agency failed to ensure the coordination of care delivery to meet the patient's needs in two (Records/Patients #1 and #3) of five records reviewed.

The agency failed to provide in writing the name and contact information of the clinical manager in, but not limited to, three (Records/Patients #1, #2 and #3) of three home visit observations.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to ensure that they employ qualified personnel by failing to verify professional nursing licenses on, but not limited to, two (Employee F and Employee G) of six employee records reviewed.

The agency failed to provide oversight for the coordination of patient care in, but not limited to, two (Records/Patients #1 and #3) of five full records reviewed.

The agency administration failed to ensure the responsibility for the overall supervision and execution of duties of the clinical manager position including ensuring the development, implementation, and updates of the individualized plan of care in, but not limited to, two (Records/Patients #1 and…

The agency failed to ensure the Employee Disqualification List (EDL) was checked prior to hire in, but not limited to, one (Employee E) of six employee files reviewed.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional within 5 business days or the patient's discharge, in one (Record/Patient #5) out of two discharge records reviewed.

The agency failed to provide evidence that the frequency and detail of the quality data collection was approved by the agency's governing body, and collection of quality data was ongoing to: - Monitor the effectiveness and safety of the services and quality of care; and - Identify opportunities for…

The agency failed to provide evidence that the governing body was responsible for ensuring an ongoing program for quality improvement and patient safety.

The agency failed to ensure nursing staff followed accepted standards of practice for wound care in one (Record/Patient #2) of one applicable case reviewed.