Advanced Home Health Care Inc

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 2 of 10 sampled patients.

The home health agency failed to ensure all documentation was completed and appropriately authenticated in accordance with accepted standards of practice and agency standards of practice for 4 of 7 sampled patients receiving home health aide services (Patients #3, #4, #7 and #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and oxygen used by the patient for 2 of 10 sampled patients (Patients #2 and #10).

The agency failed to only provide services ordered by the physician for 1 of 4 sampled patients with wounds (Patient #9).

The agency failed to ensure 3 of 3 sampled home health aides (Staff I, Staff J and Staff K) assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 7 sampled patients (Patients #9) with home health aide services, had documented evidence of…

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 7 sampled patients receiving home health aide services (Patients…

The agency failed to complete a drug regimen review within the required timeframes at the time of start of care, recertification, and discharge for 3 of 11 patients requiring comprehensive assessments (Patients #1, #4, and #10).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 5 of 10 sampled patients (Patients #1, #2, #3, #5 and #6).

The agency staff failed to provide medications and treatments only as ordered by the physician for 3 of 10 sampled patients (Patients #2, #5 and #8).

The agency failed to notify the physician of changes in visit frequency ordered on the Plan of Care for 1 of 1 sampled pediatric patients (Patient #5) receiving services multiple hours per day (more than 2 hours per day).

The agency failed to ensure the home health aides successfully completed competencies in all basic home health aide skills which require a registered nurse, or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the aide either verbally, in…

The facility failed to accurately complete a drug regimen review, including completion of all required components within the required time frames as part of the comprehensive assessment for 4 of 10 records reviewed (Patients #1, #3, #4 and #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including supplies and equipment used by the patient to meet his/her needs and an accurate list of the patient's current medications for 2 of 10 sampled patients (Patients #2 and #7).

The agency failed to update the working Plan of Care with all new physician orders for 5 of 10 sampled patients with interim physician orders.

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 4 of 10 sampled patients (Patients #2, #4, #5 and #7).

The agency staff failed to report changes and coordinate care with the other professional staff and the patient's physician for 3 of 10 sampled patients (Patients #2, #6 and #8).

The agency failed to ensure 5 of 10 sampled home health aides (Staff E, H, I, J and K), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 3 of 5 sampled patients (Patients #6, #9 and #10) with home health aide services, had documented evidence of…

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 7 sampled patients (Patients #1 and #3) receiving home health aide services.