Advance Specialty Care, LLC

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Group of professional Personnel was met as follows: 1. The Home Health Agency's (HHA) group of professional personnel failed to ensure the agency's policies governing scope of services offered, admission and discharge…

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Acceptance of Patients, Plan of care and Medical Supervision was met as follows: 1. The home health agency (HHA) failed to meet the medical and nursing needs for 4 of 16 (Patients 3, 4, 9 and 12) patients, who were…

The Home Health Agency's (HHA) group of professional personnel failed to ensure the agency's policies governing scope of services offered, admission and discharge policies, medical supervision and plans of care, emergency care, clinical records, personnel qualifications and program evaluation were…

The agency failed to ensure the group of professional personnel met frequently to advise the agency on professional issues, to participate in the evaluation of the agency's program, and to assist the agency in maintaining liaison with other health care providers in the community and in the agency's…

The agency staff failed to ensure the group of professional personnel's meeting were documented by dated minutes.

The home health agency (HHA) failed to meet the medical and nursing needs for 4 of 16 (Patients 3, 4, 9 and 12) patients, who were accepted for treatment, on the basis of a reasonable expectation that the agency could provide adequate staffing in the patients' place of residence.

The agency staff failed to follow the written Plan of Care (POC), for 4 of 16 sample patients (Patients 3, 4, 9 and 12).

The Skilled Nurse (SN) failed to promptly alert the attending physician to the purplish hematoma on the left hand for 1 of 16 sample patients (Patient 11), that may require a change in the plan of care.

The Home Health Agency (HHA) failed to electronically transmit completed OASIS (Outcome and Assessment Information Set, an assessment tool) Final Validation Reports data at least monthly.

The agency's skilled nurse failed to review all the current medications for one of 16 sample patients (Patient 11), to ensure the patient was receiving the medications, as ordered by the physician.