Accentcare Home Health of Virginia

The agency failed to ensure that patients were informed about and consented to the frequency of proposed visits in advance of starting care in seventeen (17) of seventeen (17) clinical records reviewed in the survey sample (clinical record #'s 1-17).

The agency failed to ensure that the initial assessment for each patient was completed within 48 hours of the referral for one (1) of seventeen (17) clinical records reviewed in the survey sample (clinical record #1).

The agency's staff failed to ensure a plan of care contained specific information required on the plan of care for one (1) of one (1) clinical records for patients receiving tube feedings and were reviewed in the survey sample (clinical record #3 ).

The agency failed to ensure a Clinical manager was available during all operating hours.

The agency failed to send the patient's discharge summary to the primary care physician within five (5) business days of discharge for two (2) of five (5) discharged patients in the survey sample (Clinical records #15 and #17).

The agency failed to document conducting emergency preparedness exercises to test their emergency plan at least annually which consisted of: (1) An additional exercise that may have included, but was not limited to the following: a second full-scale exercise that is community-based or individual…

The agency failed to maintain operations at the branch locations to include regular staffing in two (2) of three (3) branch offices.

The agency failed to ensure patients were provided with the agency's transfer and discharge policies.

The agency failed to ensure the patient's medication profile contained all medications the patient is currently using.

The agency failed to ensure the patient's individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admission, contain patient medications including dose/frequency and route, and all necessary interventions to address the underlying…

The agency failed to ensure drugs, services, and treatments were administered only as ordered by a physician for five (5) of fourteen (14) clinical records reviewed in the survey sample.

The agency's professional staff failed to promptly alert the patient's physician to any changes that suggest a need to alter the patient's plan of care for four (4) of fourteen (14) clinical records reviewed in the survey sample (Clinical record #'s: 2, 5, 12 and 13).

The agency failed to document the patient's progress toward outcomes and goals specified in the plans of care for eleven (11) of eleven (11) clinical records reviewed in the survey sample and admitted/recertified on or after 01/13/2018 (Clinical records: # 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14).

Agency staff failed to coordinate care and services for patients who have an identified need for home health aide services.

Agency staff failed to communicate wound status findings with other professionals involved in patient care, failed to follow agency policy and failed to notify the physician(s) of declining wound status.