West Home Care Inc

The provider failed to conform with the physicians's order on 1 out of 6 sample patients (SP).

The provider failed to ensure drugs are administered as ordered by a physician for 1 out of 6 sample patients (SP).

The provider failed to ensure communication with all physicians involved in the plan of care on 1 out of 6 sample patients (SP).

The provider failed to ensure its plan included information regarding the emergency preparedness concerns with the landlord to ensure continuation of care if the structure of the building and its utilities are impacted and included strategies for addressing emergency events that were identified…

The provider failed to ensure its plan included strategies for addressing emergency events that were identified during the development of the facility- and community-based risk assessments.

The provider failed to develop a plan that addressed patient population, the type of services the facility has the ability to provide in an emergency, the continuity of operations the delegation of authority and succession planning.

The provider failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials and documentation of the facility's efforts to contact such officials and, when applicable, of its participation in collaborative and…

The provider failed to develop and implement emergency preparedness policies and procedures, based on the emergency management plan.

The provider failed to ensure its emergency preparedness plan addressed when and how information is communicated to emergency officials and to include the clinical care needed for patients.

The provider failed to ensure their emergency preparedness plan included timelines for transferring patients or under what conditions patients would need to move, the procedures to follow up with on-duty staff and patients, and procedures on how the home health agency will inform State and local…

The provider failed to develop and implement emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to ensure its emergency preparedness plan included policies and procedures for the use of volunteers and other staffing strategies in its emergency plan.

The provider failed to ensure its emergency preparedness plan included a communication plan that contains how the facility coordinates patient care within the facility, across healthcare providers, and with state and local public health departments.

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to show that all staff received emergency preparedness training and demonstrated knowledge.

The provider failed to conduct exercises to test the emergency plan.

The home health agency failed to provide at least one of the qualifying services directly through agency employees.

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 3 out 7 Sampled Patient (SP).

The provider failed to establish appropriate policies and procedures for informing the patients or patients' immediate family or representative of the right to report complaints about local home health agencies.

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care the following: (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and (xv) Information related to any advanced…

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 1 out of 7 Sampled Patients (SP).

The provider failed to consult the physician the patient's condition or needs that suggest the plan of care should be altered for 1 out 3 Sampled Patients (SP) with home visits conducted.

The provider failed to ensure the patients receive a visit schedule for frequency of visits by the personnel acting on behalf of the home health agency in 3 out of 3 Sample Patients (SP) with home visits made (SP#1, SP#2 and SP#3).

The provider failed to have the individualized plan of care include any treatments to be administered by the agency's staff for 1 out 3 Sampled Patients (SP) with home visits conducted.

The home health agency staff failed to prepare and record clinical notes for 2 out of 7 Sampled Patients (SP).

The provider failed to ensure that 2 out of 4 (F, H) sample skilled professional staff participated in all in-service training sessions.

The provider failed to ensure the clinical record includes in the discharge summary an accurate evaluation of established goals at time of discharge for 1 out of 7 Sampled Patient.