Wellpoint Home Health Inc

The agency failed to ensure the plan of care was followed as ordered by the physician (see tag G0572), failed to ensure the plan of care was revised to include a physician's order (see tag G0576), ensure that all patient care orders made by the physician were followed (see tag G0578), failed to…

The home health agency failed to ensure the plan of care was followed in 1 of 1 clinical record cited for immediate jeopardy and 3 of 3 records reviewed with skilled nursing and physical therapy services and 1 of 1 record reviewed with skilled nursing and home health aide services.

The home health agency failed to ensure all patient care orders made by the physician were followed in 1 of 1 clinical record cited with an immediate jeopardy.

The agency failed to ensure the plan of care was revised to include a physician's order in 1 of 1 clinical record cited for immediate jeopardy.

The home health agency failed to ensure the physician was promptly alerted to all changes in the patient's condition in 1of 1 clinical record cited for immediate jeopardy and in 1 of 1 clinical record reviewed with skilled nursing and home health aide services.

The home health agency failed to ensure coordination of care between the contracted physical and occupational therapists and the RN case manager in regards to elevated blood pressures and missed visits due to illness in 1 of 1 clinical record that was cited for immediate jeopardy.

The home health agency failed to ensure each patient and his or her caregiver received ongoing education and training regarding the care and services identified in the plan of care in 1 of 1 clinical record cited for an immediate jeopardy and 4 of 6 clinical records with skilled nursing services in…

The home health agency failed to follow their policy to develop, establish, and maintain a comprehensive emergency preparedness program that encompassed their implementation of an emergency plan, implementation of a communication plan, implementation of training and testing, and to develop a policy…

The home health agency failed to ensure care and services were provided per the plan of care (see tag G0572); failed to ensure the plan of care included pertinent diagnoses, frequency and duration of visits to be made, types of services, supplies and equipment required, a frequency of medicaton…

The Registered Nurse failed to ensure the plan of care included pertinent diagnoses, frequency and duration of visits to be made, types of services, supplies and equipment required, a frequency of medicaton, and all medications and treatments (see tag G0708); failed to ensure all patients received…

The home health agency failed to ensure all home health aides had successfully passed a competency assessment prior to being assigned to visit patients (see tag G0754); failed to ensure the home health aides continued and/ or initiated the pro-rated 12 hours of in-service training (see tag G0774)…

The home health agency failed to follow their policy to develop, establish, and maintain a comprehensive emergency preparedness program that encompassed their implementation of an emergency plan, implementation of a communication plan, implementation of training and testing, and to develop a policy…

The home health agency failed to ensure care and services were provided per the plan of care in 9 of 9 clinical records reviewed.

The home health agency failed to ensure all employees practiced standard precautions and infection control policies and procedures in 2 of 4 home visits observed.

The home health agency failed to ensure their infection control program was followed and ensured infections were identified, investigated, and surveillance conducted in 1 of 1 home health agency.

The home health agency failed to ensure the home health aides continued and/ or initiated the pro-rated 12 hours of in-service training in 3 of 3 home health aides employed by the agency.

The Registered Nurse failed to ensure written patient care instructions did not contain "prn" for tasks and failed to ensure the home health aide provided services per the aide care plans in 5 of 7 clinical records reviewed of patients with home health aide services in a sample of 9 records…

The home health agency failed to ensure all entries in the clinical record were appropriately completed and authenticated by the visiting clinical staff in 1 of 9 records reviewed (#4), failed to have the primary physician sign and date the plan of care for 1 of 9 records reviewed (#5), and failed…

The home health agency failed to ensure a patient was informed in advance of skilled nurse services to be provided in 1 of 9 clinical records reviewed.

The home health agency failed to ensure all confidential clinical record information was safeguarded to protect the confidentiality of protected health information in 1 of 1 home health agency.

The home health agency failed to ensure they informed all clients of the charges the individual may have to pay after insurance coverage in 2 of 9 patient records reviewed.

The home health agency failed to ensure a patient's caregiver was aware of the home health state hotline number to receive complaints or questions in 1 of 3 caregivers interviewed.

The home health agency failed to ensure the patient was discharged appropriately and that the patient was discharged based on all goals were met or had been achieved and that the patient no longer required home health agency services in 2 of 3 discharged records reviewed.

The home health agency failed to ensure an initial assessment was performed within 48 hours of the initial referral in 1 of 9 records reviewed.

The agency failed to ensure a patient was reassessed within 48 hours upon their return from the hospital for 2 of 2 records reviewed of patient's being hospitalized during a certificatin period in a sample of 9 records reviewed.

The home health agency failed to ensure the plan of care included pertinent diagnoses, frequency and duration of visits to be made, types of services, supplies, and equipment required, a frequency of medication, and all medications and treatments in 3 of 9 clinical records reviewed.

The home health agency failed to ensure all drugs, services, and treatments were established by the physician in 4 of 9 clinical records reviewed.

The home health agency failed to follow their policy and ensure all verbal orders were written according to policy, as well as signed and dated by the ordering physician in 2 of 9 clinical records reviewed.

The home health agency failed to ensure the plan of care was reviewed by the physician who ordered and was responsible for the home health plan of care in 1 of 9 clinical records reviewed.

The home health agency failed to ensure physicians were notified of patients high pain levels in 2 of 9 clinical records reviewed.

The home health agency failed to follow their policy and ensure the primary care physician was informed and approved of external physician orders in 1 of 9 clinical records reviewed.

The home health agency failed to ensure the skilled nurse, home health aide, physical and occupational therapy coordinated between each other in order to meet the patient needs in 6 of 9 clinical records reviewed.

The home health agency failed to ensure medication instructions included the frequency in which the medication would be taken in 1 of 9 clinical records reviewed.

The home health agency failed to ensure the agency provided the name and number of the clinical manager to the patients in 1 of 1 home health agency.

The Registered Nurse failed to ensure the plan of care included pertinent diagnoses, frequency and duration of visits to be made, types of services, supplies, and equipment required, a frequency of medication, and all medications and treatments in 3 of 9 clinical records reviewed.

The occupational therapist and skilled nursing failed to ensure all patients received services as ordered by the physician in the plan of care in 7 of 9 clinical records reviewed.

The home health agency failed to ensure all patient and caregiver education were provided as directed per the physician signed plan of care in 8 of 9 clinical records reviewed.

The home health agency failed to ensure all home health aides had successfully passed a competency assessment prior to being assigned to visit patients in 1 of 3 agency home health aides.

The home health aides failed to ensure care and services were provided per the plan of care in 3 of 7 patients with home health aide services in a sample of 9 records reviewed.

The home health agency failed to ensure the home health aides reported changes in the patient's condition to the registered nurse or other appropriate skilled professionals in 1 of 9 clinical charts reviewed.

The home health agency failed to ensure all home health aides had supervisory visits at least every 14 days in 5 of 7 patients with home health aide services in a sample of 9 records reviewed.

The administrator failed to ensure the responsibility of the day-to-day operations of the home health agency in 1 of 1 home health agency.

The clinical manager failed to ensure all patient and personnel assignments/ visits were overseen by him/ herself within Wellpoint and not by the contracted agency for 1 of 1 home health agency.

The home health agency failed to follow their policy and ensure all verbal orders were complete and written according to agency policy, as well as signed and dated by the ordering physician, failed to ensure a plan of care included a primary diagnosis, surgical procedures, secondary/ other…

The home health agency failed to follow their policy and ensure all goals were met and/ or the patient met their maximum potential and that outside resources were referred to the patient to help meet their needs prior to patient's discharge in 1 of 9 clinical records reviewed.