All Americans Choice Home Health Inc

The agency failed to ensure the Condition of Participation: G 570 §484.60 care planning, coordination of services, and quality of care was in compliance when: 1. Based on interview and record review, the agency failed to ensure a physician reviewed and signed the patients' plans of care (a document…

The agency failed to ensure that the Condition of Participation: G 640 484.65 Quality assessment and performance improvement (QAPI - a system wide improvements with standard setting to elevate patient safety and care quality) was in compliance as follows: 1. Based on interview and record review…

The agency failed to ensure the Condition of Participation: G 680 §484.70 Condition of Participation, Infection Prevention and Control, was in compliance when: 1. Based on observation, interview, and record review, the agency failed to ensure standard precautions (the minimum infection prevention…

The agency failed to ensure the Condition of Participation: G 940 484.105 Organization and administration of services was in compliance when: Based on interview, and record review, the Governing Body (GB-a group of individuals vested with the ultimate authority, power, and responsibility to guide…

The agency failed to ensure a physician reviewed and signed the patients' plans of care (a document that provides direction on the type of clinical care a patient needs) within 30 working days of the patients' start of care as required by State regulation and the agency's policy and procedure (P&P)…

The agency failed to measure, analyze, and track quality indicators to assess processes of care, agency services, and operations from January 2024 to June 4, 2026, for Patients 1 to 132. Although the agency reported reviewing infections and falls, the agency did not ensure the accuracy of infection…

The agency failed to conduct QAPI (a system wide improvements with standard setting to elevate patient safety and care quality) program activities required to identify, analyze, and improve high‑risk, high‑volume, and problem‑prone areas from January 2024 through June 4, 2026, for Patients 1 to…

The agency failed to conduct and document performance improvement projects (PIP – a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had…

Make binding decisions) failed to ensure that an ongoing Quality Assessment and Performance Improvement (QAPI) Program addressed priorities for improved quality of care and patient safety, and the GB failed to evaluate all improvement actions for effectiveness from January 2024 through June 4…

The agency failed to ensure standard precautions (the minimum infection prevention and control practices used for the care of all patients at all times) were followed to prevent the transmission of infections and communicable diseases for seven (7) of seven (7) sampled patients (Patients 1…

The agency failed to maintain a coordinated, agency‑wide program for the surveillance, identification, prevention, control, and investigation of infections that was integrated into the agency’s Quality Assessment Performance Improvement (QAPI) program (a system-wide improvements with standard…

The agency failed to maintain and keep current a Clinical Laboratory Improvement Amendment (CLIA—a federal certification that allows healthcare facilities to legally perform simple, low‑risk diagnostic tests) certificate for 132 patients (Patients 1 through 132) during the three‑year period…

Make binding decisions) failed to operate and manage the agency from January 2024, to June 4, 2026, for Patients 1 through 132, when: 1. Based on interview and record review, the agency failed to maintain and keep current a Clinical Laboratory Improvement Amendment (CLIA—a federal certification…

The facility failed to ensure personal health information were kept confidential for one (1) of 3 (three) sampled Patients (Patient 1) for home visits when one Registered Nurse (RN 1) received and sent Patient 1’s clinical records using her personal cell phone.

The agency failed to ensure the physicians reviewed and signed verbal orders (a directive given by a doctor orally, either in person or over the phone) within 30 working days of the date of the order as required by State regulation and the agency's policy and procedure (P&P) titled, “Verification…

The agency failed to ensure the Condition of Participation: G 510 484.55 Comprehensive Assessment of Patients was in compliance when: 1. Based on interview, and record review, the agency failed to ensure the patients' initial assessment was completed within 48 hours of the patients’ referral order…

The agency failed to ensure that the Condition of Participation: G 570 484.60: Care planning, coordination, quality of care was in compliance as follows: 1. Based on interview and record review, the agency failed to ensure an individualized plan of care was developed within five days and reviewed…

The agency failed to ensure that the Condition of Participation: G 640 484.65 Quality assessment and performance improvement (QAPI) was in compliance as follows: 1. Based on interview, and record review, the agency failed to measure and analyze quality indicators (a measurable element of the…

The agency failed to ensure the patients’ comprehensive assessments were completed within five (5) days of the start of care for two of seven sampled patients (Patients 6 and 7) when Patients 6 and 7 did not receive an initial Physical Therapy (PT) evaluation within five (5) days of their…

The agency failed to ensure an individualized plan of care was developed within five days and reviewed, approved, and signed by a physician within 30 days of the patient’s start of care for four of seven sampled patients (Patients 2, 4, 6 and 7) when: 1. For Patient 2, the plan of care was not…

The agency failed to measure and analyze quality indicators (a measurable element of the agency’s practice that can be used to assess the quality of care provided) in order to assess the agency’s processes of care, services, and operations, from January 1, 2022, to May 10, 2023, in a universe of 50…

The agency failed to use quality indicator (a measurable element of the agency’s practice that can be used to assess the quality of care provided) data from OASIS (Outcome and Assessment Information Set) to monitor the quality of the agency’s services.

The agency failed to conduct and document performance improvement projects (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had…

The agency’s Governing Body (GB) failed to provide oversight for its Quality Assessment and Performance Improvement (QAPI) Program from January 1, 2022, to May 10, 2023, in a universe of 50 patients when: 1. The QAPI program failed to measure and analyze quality indicators (a measurable element of…

The Governing Body (GB) failed to operate and manage the agency from January 1, 2022, to May 11, 2023, in a universe of 50 patients when: 1. A current California State License was not maintained (expiration date June 2, 2021).

The agency failed to ensure the patients' initial assessment was completed within 48 hours of the patients’ referral order for three of seven sampled patients (Patients 2, 3, and 5).

The agency failed to ensure a review of all medications the patients were taking was conducted for one of seven sampled patients (Patient 1) when: For Patient 1: the Medication Profile (MP-a current list of all medications prescribed for a specific patient), indicated the wrong dose for three…

The agency failed to conduct a recertification assessment (an assessment to determine if home health services continue to be required by a patient for another 60-day period) within the last five days of the 60-recertification period for one of seven sampled patients (Patient 4).

The agency failed to ensure the discharge assessment and transfer summary was provided to the receiving agency within two days of the discharge for one of seven sampled patients (Patient 7) when Patient 7 was discharged to another home health agency.

The agency failed to obtain signed physician orders before providing home health services for two of seven sampled patients (Patients 2 and 6) when: 1. For Patient 2, Physical Therapy (PT) visits were made without a physician's order.

The agency failed to ensure verbal orders were signed, within 30 working days, for one of seven sampled patients (Patient 7).

The agency failed to ensure a Physical Therapist (PT) evaluated and created a care plan that included visit frequencies for one of seven sampled patients (Patient 6).

The agency failed to follow physician’s orders documented on the CMS 485 (a form provided by the Centers for Medicare and Medicaid Services-CMS-which documents a patient’s plan of care and physician’s orders) for two of seven sampled patients (Patients 2 and 3) when: 1. For Patient 2, five Physical…

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for three of seven sampled patients (Patient 1, 2, and 6).