Accentcare Home Health of California, Inc

The home health agency (HHA) failed to meet the §484.60 Condition of Participation for Care Planning, Coordination, and Quality of Care.

The home health agency’s licensed staff did not provide services as outlined in the plan of care for three of 17 sampled patients (Patients 2, 13 and 14).

The agency did not ensure infection control measures were maintained during home visits for four of 17 sample selected patients (Patient 1, 2, 3 and 8) when clinicians did not do proper hand hygiene during their visits.

The agency did not provide the written patient's rights for one of 17 sample selected patients (Patient 1) when Patient 1 was not provided the admission package with the required information.

The agency did not ensure two of 17 sample selected patient's (Patient 1 and Patient 2) had medications reviewed by the clinicians during their visits and did not reconcile medications with the patients/representatives.

The home health agency did not update the plan of care for two of 17 sampled patients (Patients 13 and 14).

The home health agency’s licensed staff did not notify the physician for changes in condition for three of seventeen sampled patients (Patients 1, 13 and 14).

The agency failed to ensure for three (Patient 11, 12 and 13) of 17 sampled patients or their representatives had a copy of their care plan and medication list.

The Home Health agency failed to follow their policy and procedure to inform one (Patient 6) of 17 sampled patients of the Provider Orders for Life Sustaining Treatment (POLST-a medical form that indicates the patient's wishes for treatment or services) or formulate an advanced directive (legal…

The agency failed to ensure one of 17 sampled patients (Patient 2) received a physical therapy (PT) comprehensive assessment per physician orders in a timely manner.

The home health agency (HHA) failed to ensure a complete medication regimen review was performed during the initial assessment for two (Patient 7 and Patient 10) of 17 sampled patients.