1ST Choice Home Health Care, Inc

This condition is not met as evidenced by: Based on record review and interview, the agency failed to ensure the patients' medical and nursing needs were met for 2 patients who did not receive timely and adequate nursing care for wound care by licensed nursing staff (see G 570); failed to ensure…

The agency failed to ensure 1 patient record (#12) of 18 reviewed was accurate and adhered to clinical record documentation standard of practice.

The agency failed to ensure the Outcome Assessment and Information Set (OASIS) data were submitted within 30 days of collection for 2 of 18 clinical records, #2 and #4, reviewed for patients who qualified for OASIS data collection.

The agency failed to complete the initial assessment within 48 hours of 1 referral from 18 referrals reviewed (#10).

The agency failed to ensure the patients (#6 and #15) received the home health services written in the individualized plans of care.

The facility failed to ensure all entries in the medical record are complete and appropriately authenticated for 1 clinical record(#16) out of 18 clinical records reviewed.

The facility failed to ensure the patient or representative was informed of the discontinuation of Skilled Nursing (SN) visits and discharge for 1 patient (#7) out of 10 sampled closed patients.

The agency failed to ensure that the patients' right to be advised of the State of Alaska Department of Health, Health Facility Licensing and Certification department's toll - free hotline number and its purpose had been communicated to the patients / patient representatives.

The agency failed to ensure coordination of care was completed with the patient / patient representative as appropriate, in the coordination of care activities for 1 of 4 active records reviewed (# 1).

The home health agency (HHA) failed to meet the Condition of Participation for Infection Prevention and Control.

The agency failed to ensure it followed its policy for strategizing patient care needs during an emergency staffing shortage attributed to staff testing positive for COVID-19. This failure could lead to negative patient outcomes due to missing or shortening home visits for all 76 patients currently…

The home health agency (HHA) failed to ensure the agency staff followed accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases and the agency failed to follow guidance from the Center for Medicare and Medicaid…

The home health agency (HHA) failed to maintain an agency-wide program for the surveillance, prevention, and control of infectious and communicable diseases as evidenced by failure to have documented evidence of monthly hand hygiene surveillance in accordance with agency policy.

The home health agency failed to ensure patients and caregivers were educated on the transmission of communicable disease, specifically COVID-19. There was no documented evidence that agency staff had educated patients and caregivers on COVID-19 for two (Patient #4, Patient #6) of two patient…

The agency failed to ensure all entries to the clinical records were appropriately dated for three of five records reviewed (Patient #2, Patient #3, and Patient #5).

The agency failed to ensure a Resumption of Care (ROC) Outcome and Assessment Information Set (OASIS) assessment was completed and the patient's plan of care (POC) was reviewed and updated as needed following the patient's return from a hospital admission for one of five sampled patients (Patient…

The home health agency failed to ensure services and treatments were administered as ordered by the physician in each patient's plan of care.