Aba Home Health Care, Inc

The agency failed to develop, implement, evaluate, and maintain an effective, ongoing, Home Health Agency-wide, data-driven Quality Assessment and Performance Improvement Program.

1. Based on review of the CMS (Centers for Medicare and Medicaid Services) Submission Report, OASIS (Outcome & Assessment Information Set) Agency Final Validation Report, submitted to CMS on 05/23/19 at 10:25 PM, [Processing Completion, Date/ Time: 05/23/19 at 10:25 PM], and a copy received by the…

The agency's staff failed to perform complete comprehensive assessments in one (1) of seven (7) clinical records (Patient # 6).

The Home Health Agency failed to develop and maintain a (QAPI) Quality Assessment and Performance Improvement Program.

The Home Health Agency failed to develop a (QAPI) Quality Assessment and Performance Improvement Program utilizing quality indicator data, including measures derived from OASIS [Outcome & Assessment Information Set], other relevant data in the design of its program, and failed to collect and use…

The Home Health Agency failed to develop performance improvement activities.

The Home Health Agency failed to conduct performance improvement projects.

The Home Health Agency failed to ensure that its governing body that has full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, including its quality assessment and performance improvement program, defined, implemented…

The agency's staff failed to conduct accurate medication reviews for two (2) of three (3) patients for home visits conducted (Patients #1 and 2).

The agency's staff failed to complete comprehensive assessment within 48 hours of the patient's return to the home from a hospital admission of greater than 24 hours in one (1) of seven (7) clinical records (Patient # 6).

The agency's staff failed to ensure that patients' Plans of Care were individualized, and included all required elements in four (4) of seven (7) clinical records (Patients #1, 3, 6, and 7).

The agency's staff failed to revise the Plan of Care in one (1) of seven (7) clinical records (Patient # 6).

The agency's clinician failed to deliver care and services in accordance with current practice standards and guidelines in one (1) of seven (7) clinical records.

The agency's clinicians failed to document a complete discharge summaries that included the patient's progress in meeting care plan goals in for one (1) of two (2) clinical record for discharged patients (Patient #5).