A Passionate Helping Hand Home Health Care LLC

The agency failed to ensure visit notes were complete, dated, and signed for 4 of 8 active clinical records reviewed.

The agency failed to ensure the comprehensive emergency preparedness program met all requirements to meet the health, safety, and security needs of their staff and patient population for 1 of 1 agency (E0001); failed to ensure an Emergency Preparedness Plan was in place and reviewed every 2 years…

The agency failed to protect and promote patients’ rights by: failing to ensure patients or their legal representative were provided with: written notice of the patient’s rights and responsibilities, the agency’s transfer and discharge policies, and ensured they were understandable and accessible…

The agency failed to ensure comprehensive assessments were complete and accurate; the agency failed to ensure the comprehensive assessment accurately reflected the extent of patients’ limitations, disabilities and skilled needs and failed to ensure the Registered Nurse identified the immediate care…

The Agency failed to ensure the care planning and coordination of services were provided as ordered by the physician, for 2 of 10 clinical records reviewed.

The agency failed to use measurable indicators to improve outcomes, patient safety, and quality of care (G 642); failed to use data derived from OASIS (Outcome and Assessment Information Set) assessments to monitor services and quality of care and failed to obtain governing body approval for the…

The Skilled Professional Nurse failed in their responsibility to ensure adequate provision of care for patients receiving Home Health services: the Skilled Professional Nurse failed to properly develop and evaluate the Plan of Care with the patient/caregiver/representative’s participation (see…

The agency failed to ensure the agency hired qualified home health aides and failed to ensure they were competent to carry out assigned patient care tasks (G754) failed to ensure the agency provided home health aide training which included classroom and supervised practical training which totaled…

The agency failed to organize, manage, and administer its resources to achieve and maintain a high level of performance in the provision of Home Health care services to ensure patients could achieve pre-established goals and outcomes for their medical, nursing and rehabilitative needs: The…

The agency failed to ensure a faxed physician’s order had been integrated into the Electronic Medical Record (EMR) for over six (6) months (G1012), failed to ensure the contact information was accurate for the patient on the plan of care (G1018), failed to ensure the correct physician was listed on…

The agency failed to ensure comprehensive assessments were complete and accurate: the agency failed to ensure the comprehensive assessment accurately reflected the extent of patients’ limitations, disabilities, and skilled needs, and failed to ensure the Registered Nurse identified the immediate…

The agency failed to identify and make revisions or updates to the comprehensive assessment with changes in the patient’s condition for 1 of 8 active clinical records reviewed.

The agency failed to ensure the patient received an individualized plan of care that identified and addressed the care and services necessary to meet patient-specific needs, failed to ensure patient-specific outcomes could be measured or achieved by failing to ensure regular and frequent skilled…

The agency failed to conform with physician orders they had received, and delayed patient care by nine (9) days, in 1 of 8 active records reviewed.

The agency failed to ensure the governing body had oversight of an ongoing program for quality improvement to include a requirement to identify and address possible fraud or waste for 1 of 1 agency.

The agency failed to ensure home health aide testing and skills competency was conducted by a registered nurse with 2 of 18 HHA personnel files.

The agency failed to ensure home health aide assignments and duties were assigned by a registered nurse or other skilled professionals with 1 of 1 agency.

The Governing body failed to assume full legal authority and responsibility for managing and operating a Home Health Agency.

The agency failed to ensure the Clinical Supervisor provided oversight of all patient care services and personnel.

The agency failed to ensure documentation submitted by employees was appropriately authenticated and dated in 4 of 8 active records reviewed . (Patients #4, 5, 6, and 8) Findings include: 1. A review of an agency’s policy dated revised April 2019 titled, ‘INTERNAL CONTROL SYSTEMS/ACCOUNTABILITIES’…

The agency failed to ensure patients or their legal representative were provided with: written notice of the patient’s rights and responsibilities, the agency’s transfer and discharge policies, and ensured they were understandable and accessible, in 1 of 3 home visits observed.

The agency failed to ensure a patient was furnished with contact information for the Administrator, including name, business address, and business phone number in order to receive complaints, in 1 of 3 home visits observed.

The agency failed to ensure patient had been furnished with an OASIS privacy notice, in 1 of 3 home visits observed.

The agency failed to properly assess patients' capacity to consent to receive services thereby failing to ensure patients retained the right to participate in their care, be knowledgeable about appropriate outcomes of care, including risk and benefit, and failed to include factors which could…

The agency failed to ensure the patient was furnished with the State Toll-free Home Health Hotline Number, in 1 of 3 home visits observed.

The agency failed to ensure the patient was furnished with the contact information for Federal and State funded entities, in 1 of 3 home visits observed.

The agency failed to ensure complaints were investigated when made by patients or representatives in 1 of 2 discharge records reviewed.

The agency failed to document complaints made by patients or their representatives or any resolution of the complaint as evidenced by 1 of 2 discharge records reviewed.

The agency failed to ensure the comprehensive assessment incorporated a thorough review of patients' medications, including high-risk medications (i.e. insulin) for 2 of 8 active clinical records reviewed.

The agency failed to ensure patients were resumed within 48 hours after returning home from a hospital admission for 1 of 8 active clinical records, 1 of 10 active and closed records reviewed.

The agency failed to ensure patients' plan of care evidenced the extent of the patient's mental, psychosocial, and cognitive status, the types of services required, the frequency and duration of visits, the extent and impact of functional limitations, all medications and treatments, a description…

The agency failed to include all orders in the plan of care by failing to identify they were in possession of a written physician's order for Skilled Nursing to provide insulin administration and medication management for a home health patient, in 1 of 8 active clinical records reviewed.

Interview failed to ensure services were provided and treatments were administered as ordered by the physician, in 2 of 9 clinical records reviewed.

The agency failed to ensure verbal orders were signed and dated by the nurse or qualified clinician responsible for furnishing or supervising the ordered services in 3 of 8 active records reviewed.

The agency failed to ensure the plan of care was reviewed by the attending physician every 60 days in 1 of 8 active record reviews.

The agency failed to ensure the physician was notified of patient change in condition, for 2 of 8 active records reviewed.

The agency failed to ensure care coordination occurred between the agency and other service providers in 2 of 8 active records reviewed.

The agency failed to ensure patients received a copy of their visit schedules in 2 of 3 home visits.

The agency failed to ensure patients received a copy of their medication lists in 2 of 3 home visits.

The agency failed to ensure patients received a copy of the plan of care in 2 of 3 home visits conducted.

The Skilled Professional Nurse failed in their responsibility to ensure the Plan of Care was developed and evaluated with the patient/caregiver/representative’s participation, in 1 of 3 home visits observed.

The Skilled Professional Nurse failed to be responsible for ensuring Patient #9 received a timely Physical Therapy evaluation after a hospital stay for a fractured femur after being home for nine (9) days, in 1 of 8 active clinical records reviewed.

The agency failed to ensure caregiver education was conducted on special nurtrtional requirements and fluid restrictions in 1 of 8 active clinical records reviewed.

The skilled nurse failed to ensure verbal orders were obtained for the plan of care from the physician, in 2 of 8 active records reviewed.

The agency failed to ensure the agency hired qualified home health aides and failed to ensure they were competent to carry out assigned patient care tasks in 16 of 18 HHA personnel files reviewed.

The agency failed to ensure the classroom and supervised practical training totaled at least 75 hours under the direct supervision of a registered nurse (RN) of 16 home health aides personnel records of 18 reviewed.

The agency failed to ensure the HHA performed HHA duties for each patient as ordered in 2 of 2 home visits conducted.

The Administrator failed to maintain responsibility and oversight for all day-to-day operations and instead relinquished responsibilities and duties to other unqualified individuals on an ongoing basis.

The agency failed to ensure the agency had an Alternate Administrator.

The agency failed to ensure the Clinical Supervisor was responsible for making personnel and patient assignments.

The agency failed to ensure the agency failed to ensure a faxed physician’s order had been integrated into the Electronic Medical Record (EMR) for over six (6) months, in 1 of 8 active records, of 10 active and closed clinical records reviewed.

The agency failed to ensure the contact information was accurate for the patient on the plan of care in 1 of 8 active records reviewed.

The agency failed to ensure the correct physician was listed on the plan of care in 1 of 8 active record reviews.

The agency failed to ensure a discharge summary was sent to the ordering physician in 1 of 2 discharged clinical records reviewed.

The agency failed to ensure the Home Health Aide frequency listed on the plan of care was followed according to the physician orders for 1 of 3 active records reviewed with a home visit.

The agency failed to ensure the Registered Nurse (RN) performed proper hand hygiene according to the agency’s policy for 1 of 1 Skilled Nursing home visits with a record reviewed.

The agency failed to ensure all the patients received an individualized and patient specific plan of care, including all equipment /supplies, and nutritional requirements in 3 of 5 active records reviewed.

The Administrator failed to ensure the agency had approval from Palmetto GBA and the Indiana department of Health of the agency's change in information regarding the address change in 1 of 1 agency.