All Homecaring Minnesota

The agency failed to ensure the emergency preparedness plan was reviewed and updated every 2 years.

The agency failed to develop a risk assessment that was based on an all-hazards approach.

The agency failed to develop an emergency plan that included a process to collaborate with local, state, tribal and federal agencies.

The agency failed to develop policies and procedures based on the agency's risk assessment.

The agency failed to ensure their emergency preparedness plan included up to date contact information for all staff, entities, providers and volunteers.

The facility failed to communicate with the provider after consistent refusal of medication for 1 of 1 patient (P6) observed for medication set up.

The agency failed to ensure the initial assessment was completed within 48 hours for 2 of 2 patient (P7, P10) reviewed for physical therapy services.

The agency failed to ensure the individualized plan of care (POC) included durable medical equipment (DME) for 2 of 4 patients (P5, P7) observed during a home visit.

The agency failed to ensure all patient care orders were included as part of the patient's plan of care (POC) for 1 of 1 patients (P8) reviewed for wound care.

The agency failed to ensure the plan of care (POC) was revised within a 60 day period for 1 of 4 patients (P5) observed for in home visits.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The agency failed to conduct an in person comprehensive assessment every 60 days.

The agency failed to ensure direct supervision of the personal care attendant (PCA) was completed every 60 days as required.

The facility failed to ensure staff members exposed to and confirmed to have COVID-19 did not come into contact and provide direct care to 2 of 2 patients (P1, P2) reviewed.

The agency failed to immediately report to the State Agency (SA), an allegation of neglect and abuse for 2 of 2 patients (P1 and P2), when personal care attendant (PCA)-A had knowingly been exposed to and subsequently tested positive to COVID-19 and cared for P1 and P2. Findings include: P1's plan…

The agency failed to complete a comprehensive in person assessment the last 5 days of every 60 day certification period, beginning with the start of care (SOC) date, for 3 of 3 patients (P1, P2, P3) reviewed.

The agency failed to ensure direct supervision of the personal care attendant (PCA) was completed every 60 days in person for 3 of 3 non-skilled patients (P1, P2, P3) reviewed.

The agency failed to implement appropriate infection control practices related to COVID-19 by failing to provide appropriate personal protective equipment (PPE) to their field staff when providing care to patients and failed to report cases of COVID-19 to the State authority based on the current…

The agency failed to submit the Outcome Assessment and Information Set (OASIS) timely for 3 of 3 patients (P3, P5, P8) reviewed.

The agency failed to complete an initial comprehensive assessment within the required 48 hours after referral for 6 of 10 patients, (P3, P6, P7, P8, P9, P10) in the sample.

The agency failed to follow physican orders on the plan of care for 5 of 10 patients (P3, P6, P7, P1, P2) in the sample.

The agency failed to conduct the initial comprehensive assessment and the 60 day reassessment comprehensive assessment within the required time frame for 4 of 10 patients (P3, P5, P6, P1) in the sample.

The agency failed to ensure the plan of care (POC) included all medications and pertinent diagnoses.

The home health agency's (HHA) quality assurance performance improvement (QAPI) committee failed to consistently monitor and revise when necessary, QAPI plans when improvements to the plan were not happening.