Xcel Healthcare Providers, Inc

The facility failed to maintain an emergency preparedness program per the requirements of 42 CFR 484.102. This had the potential to affect all clients receiving services from the agency.

The agency failed to ensure patients received the home health services as written in the plan of care for three of four medical records reviewed (Patient #1, #3, and #4).

The agency failed to ensure the plans of care included the frequency and duration of visits to be made for four of four medical records reviewed (Patient #1, #2, #3, and #4).

The agency failed to include the frequency of service for the Home Health Aides in the plan of care for two out of five medical records reviewed.

The agency failed to promptly alert the physician to any changes in the condition of the pattient.

The agency failed to supervise the HHA to determine if the Aide was not properly repositioning the patient to prevent the development of pressure sores.

The agency failed to ensure it participated in a table top exercise or community based exercise.

The agency failed to ensure patients received home health aide services written in the plan of care for one of seven medical records reviewed (Patient #5).

The agency failed to ensure infection control procedures were followed for one of three patients observed during a home visit (Patient #1).

The agency failed to ensure comprehensive assessments were conducted the last five days of every 60 days beginning with the start-of-care date for one of seven medical records reviewed (Patient #7).

The agency failed to ensure treatments were provided only as ordered by the physician for one of seven medical records reviewed (Patient #2).

The agency failed to ensure home health aide services were furnished in accordance with the plan of care for oneof seven medical records reviewed (Patient #7).

The agency failed to ensure a supervisory visit was conducted by a registered nurse every two weeks for one patient who was receiving skilled services (Patient #2).

The agency failed to ensure supervisory visits were conducted every 60 days for patients not receiving skilled services and failed to ensure the aide was present during supervisory visits for one of seven medical records reviewed (Patient #7).