Vna of Orange County LLC

The agency failed to ensure the emergency preparedness P&P (Policy and Procedure) included the procedures to inform State and local emergency preparedness officials about homebound hospice patients in need of evacuation from their residences at any time due to an emergency situation based on the…

The agency failed to ensure the emergency preparedness P&P addressed the procedures to follow up with the on-duty staff and patients to determine if the interruption of services occurred and inform the State and local officials of any on-duty staff or patients that they were unable to contact…

The agency failed to ensure the emergency preparedness P&P addressed a system of medical documentation that preserved patient information, protected confidentiality of the patient information, and secured and maintained the availability of the records, creating the increased risk of not protecting…

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the emergency preparedness communication plan included the method for sharing information and medical documentation for the HHA's patients with other health providers to maintain the continuity of care, creating the increased risk of not providing appropriate…

The agency failed to ensure the patients received care and services as per the written POCs for 13 of 17 sampled patients (Patients 1, 2, 3, 4, 6, 7, 8, 9, 11, 12, 14, 16, and 17), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to revise and update the POC for three of 17 sampled patients (Patients 1, 4, and 16), creating the risk for not providing necessary care and services to meet the care needs for these patients.

The agency failed to ensure the agency's RN had prepared specific patient care instruction for the CHHA to meet the care needs for one of 17 sampled patients (Patient 2), creating the increased risk of not providing necessary care and services to this patient.

The agency failed to ensure the clinical records were complete and accurate for four of 17 sampled patients (Patients 5, 6, 13, and 17), creating the risk of substandard care provided to these patients as their clinical information was not complete.

The agency failed to ensure the initial assessment visits were conducted within 48 hours after referral for two of 17 sampled patients (Patients 2 and 5), creating the risk of not providing the necessary care and services timely to these patients.

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs, but no later than 5 calendar days after the SOC date for four of 17 sampled patients (Patients 6, 11, 13, and 17), creating the risk of not identifying…

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for four of 17 sampled patients (Patients 1, 6, 7, and 10).

The agency failed to ensure the comprehensive assessments were updated within the last 5 days of every 60 days for two of 17 sampled patients (Patients 7 and 12), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the update comprehensive assessment was completed within 48 hours of the patient's return to home from the hospital for two of 17 sampled patients (Patients 15 and 17), creating the risk of not providing the necessary care and services timely to meet the care needs for…

The agency failed to ensure the comprehensive assessment was updated at discharge for one of 17 sampled patients (Patient 16), creating the risk of not updating the patient's status for the patient.

The agency failed to ensure the POCs included specific information related to medications, assessment of Homan's sign, and compression stocking for three of 17 sampled patients (Patients 1, 6, and 16), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the verbal orders were completed as per the agency's P&P for 17 of 17 sampled patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, and 17), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the coordination of care for three of 17 sampled patients (Patients 10, 14, and 15), creating the risk of not providing necessary care and services to these patients.

The agency failed to provide the written instructions outlining the SN visit schedule for one of 17 sampled patients (Patient 9), creating the risk of not providing the necessary information to this patient.

The agency failed to ensure the SN provided teaching related to IV therapy for one of 17 sampled patients (Patient 13), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to ensure the agency's skilled professionals prepared accurate clinical notes for four of 17 sampled patients (Patients 1, 5, 14, and 16), creating the increased risk of substandard healthcare outcomes to these patients.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&P related to PICC line dressing was not implemented for one of 17 sampled patients (Patient 11).

The agency failed to ensure the SNs provided care and services related to wound assessments in accordance with professional standards and principles for four of 17 sampled patients (Patients 1, 10, 14, and 16), creating the risk of not providing appropriate care to these patients.

The agency failed to ensure the completed discharge summaries were sent to the primary care practitioner after discharge from the HHA within five business days of the discharge date for five of five sampled discharged patients (Patients 13, 14, 15, 16, and 17), creating the risk of not providing…