Your Choice Home Health, Inc

The agency failed to ensure the Start of Care (SOC) occurred within 48 hours for one of 17 sampled patients (Patient 19) which resulted in a delay in the start of physician ordered services (G514) and failed to discontinue physical therapy services for 4 of 17 sampled patients (Patient 20, Patient…

The agency failed to revise and update home health aide care plans (G572); failed to document the correct diagnosis based on the comprehensive assessment which led to the development of a plan of care that was inappropriate (G574); failed to ensure services were performed as ordered by the…

The Home Health Agency (HHA) failed to ensure services provided were supervised by a qualified professional when there was no supervisor who dedicated sufficient time to oversee the agency's skilled professional services(G702); failed to ensure there was ongoing interdisciplinary assessment of…

The Home Health Agency (HHA) failed to have identifiable lines of authority (G942); failed to identify the legal authority of persons responsible for operations (G948 ); failed to organize and direct the agency's functions (G950 ) and failed to ensure skilled nursing services were provided under…

The Agency failed to ensure the HHA administrative staff met the standards required by statute to perform their duties to effectively run the day to day operations of the agency.

The agency failed to revise and update the home health aide care plans for two of 17 sampled patients (Patient 8 and Patient 19).

The agency failed to ensure services were performed as ordered by the physician for 2 of 17 sampled patients (Patient 8 and Patient 19).

The agency failed to ensure care was coordinated between the clinicians, physicians and the office staff for 3 of 17 sampled patients (Patient 3, 9 and 14) when visit schedules were not available or were inaccurate.

The agency failed to ensure skilled nursing services were provided under the supervision of a qualified professional when there was no supervisor who dedicated sufficient time to oversee the agency's skilled professional services for a census of 79. This failure had the potential to jeopardize…

The agency failed to ensure Certified Home Health Aides (HHA) supervisory visits were completed for 4 of 17 sampled patients (Patient 5, 8, 9 and 19) as per policy.

The agency failed to ensure the Governing Body had an organizational structure with clear lines of authority when staff were not clear of their appointed roles.

The agency failed to ensure skilled nursing services were provided under the supervision of a qualified professional when there was no supervisor who dedicated sufficient time to oversee the agency's skilled services for a census of 79. This failure had the potential to jeopardize patient care and…

The agency failed to ensure clinical records were safeguarded against unauthorized use when staff transmitted information via personal phones and computers for a current census of 79. This failure jeopardized the patient's private health information and increased the risk for access by unauthorized…

The agency failed to employ a qualified Administrator when the Owner of the agency identified himself as the Administrator, but did not meet the required qualifications for the position.

The facility failed to employ a Clinical Supervisor who had sufficient experience and knowledge of HHA services and who could dedicate sufficient hours to ensure the effective operation of the agency and clinical staff.

The agency failed to ensure Start of Care (SOC) within 48 hours for one of 17 sampled patients (Patient 19) when there was a delay in the start of physician ordered services.

The agency failed to discontinue physical therapy services for 4 of 17 sampled patients (Patient 20, Patient 11, Patient 13 and Patient 8) when Patient 20, Patient 11, and Patient 13 no longer required physical therapy and when the agency failed to assess for Patient 8's continuing need for skilled…

The facility failed to document the correct diagnosis based on the comprehensive assessment for 1 (Patient 11) of 17 sampled patients.

The agency failed to ensure services were provided as ordered by a physician for 1 of 17 sampled patients (Patient 5) when visits were made, contrary to the Plan of Care (POC).

The facility failed to discontinue services for 2 of 17 sampled Patients (11 and 13) when: 1. Patient 11 had been discharged from home health services; and, 2. Patient 13 met the plan of care defined goals of treatment during the previous certification period.

The agency failed to communicate to the physician changes in the Plan of Care (POC) for two of 17 patients (Patient 5 and Patient 4).

The agency failed to conduct "Case Conferences" (a conference involving different disciplines involved in a patient's care) for 4 of 17 sampled patients (Patient 3, 6, 18, and 20).

The agency failed to ensure clinical and care conference notes were complete and prepared in a timely manner for 3 of 17 sampled patients (Patient 3, Patient 4 and Patient 9) and for 65 case conference notes for a census of 79. This failure had the potential to jeopardize the patient's continuity…

The agency failed to communicate to the physician the need for increased Home Health Aide services for 1 of 17 sampled patients (Patient 5) when visits were increased contrary to the Plan of Care (POC).

The agency failed to ensure skilled nursing services were provided under the supervision of a qualified professional when there was no supervisor who dedicated sufficient time to oversee the agency's skilled services for a census of 79. This failure had the potential to jeopardize patient care and…

The agency failed to ensure Home Health Aides (HHA) supervisory visits were completed for 4 of 17 sampled patients (Patient 5, 8, 9 and 19) as per policy.

The agency failed to follow their policy on 'Reporting Changes' to the authorities as required by regulations when a change in the agency's Administrator and his/her designee, and the change of the Director of Patient Care Services (DPCS) and his/her designee, was not reported within 10 days per…

The agency failed to follow their policy on 'Reporting Changes' to the authorities as required by regulations when a change in the agency's Administrator and his/her designee, the change of the Director of Patient Care Services (DPCS) and his/her designee, and the Change of Location was not…

The agency failed to ensure a qualified Administrator was hired to oversee the overall daily functions of the Agency for a census of 79. This failure had the potential to jeopardize patient care and services and the overall functioning of the agency.

The Administrator failed to ensure skilled nursing services were provided under the supervision of a qualified professional when there was no supervisor who dedicated sufficient time to oversee the agency's skilled services for a census of 79. This failure had the potential to jeopardize patient…

The agency failed to ensure care was coordinated between the clinicians, physicians and the office staff for 3 of 17 sampled patients (Patients 3, 9 and 14) when visit schedules were not available or were inaccurate.

The agency failed to ensure the records for three of 17 sampled patients (Patient 6, Patient 8, and Patient 19) were complete with all clinical notes filed in a timely manner.