A-Plus Healthcare at Home - Home Health

The home health agency (HHA) failed to ensure each patient received a patient specific comprehensive assessment.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The home health agency (HHA) failed to maintain a home health-wide, data-driven quality assessment and performance improvement (QAPI) program.

The agency failed to ensure that skilled services were provided as necessary to meet the patients needs.

The home health agency (HHA) failed to provide necessary oversight and supervision of the HHA.

The home health agency (HHA) did not ensure individual emergency plans (IEP) were developed for the HHA's patients during a natural or man-made disaster or emergency.

The home health agency (HHA) did not participate in a full-scale exercise that was community-based.

The Home Health Agency (HHA) did not ensure each patient received home health services as written in an individualized plan of care (POC).

The home health agency (HHA) did not ensure conformance with physician orders.

The agency did not ensure that the individualized plan of care was reviewed and revised as the patient's condition or needs required for 1 of 15 sampled patients.

The home health agency did not ensure there was care coordination between HHA staff members, as well as with physicians providing care to patients receiving home health services for 1 of 15 sample patients.

6. The agency did not have an active QAPI program (Refer to tag G-640).

The home health agency (HHA) did not ensure skilled professionals assumed responsibility for patient needs for 2 of 15 sampled patients.

The human resource staff further stated the required 12 hours in-services were not completed.

The agency did not have a qualified individual to provide oversight of all patient cares, services, and personnel.

The home health agency (HHA) did not ensure the administrator held an undergraduate degree.

The Home Health Agency (HHA) did not ensure that each patient had a comprehensive assessment completed no later than 5 calendar days after the start of care.

The Home Health Agency (HHA) did not ensure that the patient's medical, nursing, rehabilitative, social, and discharge planning needs were being met.

The home health agency (HHA) did not ensure all patients individualized plans of care (IPOC) contained all required elements.

For 1 of 15 sample patients, the facility did not ensure that services and treatments were administered only as ordered by the physician.

Specifically, 1 of 15 sampled patients did not have a SV at least every 14 days.

(Employee identifiers: 3 and 4.) Findings Include: 1. Employee 3 was hired on 5/18/2007. Her personnel file did not contain evidence that an annual on-site visit was completed.

The home health agency (HHA) did not ensure it employed qualified personnel.