Allina Health Home Health

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

The facility failed to ensure the oasis assessment accurately reflected the health status of 2 of 2 patients assessed (P1 & P2).

The agency failed to use standard infection control precautions to prevent the transmission of infections for 1 of 1 patient (P1) observed during five wound care dressing changes.

The agency failed to protect patients from abuse when RN-A sexually abused P1 over approximately ten months while assigned as P1’s primary caregiver.

The agency failed to provide proper written notice in advance of specific services being furnished if the agency believes that the serve may non-covered; or in advance of the agency reducing or terminating ongoing care.

The agency failed to be free from any discrimination of reprisal for exercising his rights after the family requested a family friend to file a complaint against the home heath agency.

The agency failed to investigation allegations of sexual abuse.

The agency failed to take action to prevent further potential violations to patients following allegations of sexual abuse for 1 of 1 patient (P1).

The facility failed to ensure allegations of potential sexual abuse were immediately reported the state agency for 1 of 1 patient (P1) when a family friend called the agency to report a romantic relationship between P1 and his nurse (RN)-A.

The facility failed to ensure the start of care assessment was completed within 48 hours of the patient’s return home for 1 of 7 patients (P2) observed during home care visit.

The agency failed to ensure a comprehensive assessment accurately reflected the patient’s status for 2 of 17 patients (P1 and P2) who received home health services.

The agency failed to ensure medication reconciliation was completed for 3 of 3 patients (P1, P2 and P7) observed in home visits.

Based observation, interview, and record review the agency failed to provide all pertinent information required on the individual plan of care for 6 of 17 clients reviewed.

The facility failed to complete the process of obtaining a verbal order, documentation of said order, and routing to the provider for review and signature, for one of one patient (P7), seen on a home visit for medication set up.

The facility failed to assure there was communication with all physicians or allowed practitioners involved in the plan for 2 of 15 patients (P1 and P2) reviewed for provider communication.

The agency failed to ensure home health aide (HHA) supervisory visits were completed every 14 days for 1 of 3 patients (P11) currently receiving HHA services from the agency.

The agency failed to ensure provider notification was made for 2 of 4 patients (P10, P6) reviewed for missed visits.

The agency failed to ensure a resumption of care was completed within 48 hours after return from a hospital stay for 1 of 5 patients (P13) who had been discharged from the agency.

The agency failed to ensure a comprehensive assessment accurately reflected the current health status upon return from hospitalization and transitional care stay for 1 of 7 (P9) patients observed on a home care visit.

The agency failed to ensure the physician orders were followed for 1 of 17 patients (P12) who had physical therapy ordered, but the service had not been provided, and the physician had not been notified the service was not provided.

The agency failed to update the plan of care to reflect revisions made to medications orders for 3 of 17 patients (P13, P8, P1) reviewed for current medications.

The agency failed to ensure a patient's discharge was communicated to the physician issuing orders for the agency's plan of care and other health care professionals who would be responsible for providing care and services to the patient after discharge from the home health agency (HHA) for 1 of 5…

The agency failed to promote the exercise of patient rights for 1 of 3 patients reviewed, Patient #1 (P1) when the agency discharged the patient without proper cause, failed to resolve the problem or give the patient a reason for the discharge, and failed to follow their grievance process and…

The agency failed to discharge 1 of 3 patients reviewed, Patient #1 (P1), for appropriate cause, when the patient was discharged from home care agency and the agency staff did not know why.

The agency failed to make any effort to resolve problems that led to discharge for 1 of 3 patients reviewed, Patient #1 (P1), when the agency discharged the patient and did not know why they were discharging her and refused to work with the patient for a resolution.

The agency failed to document the existence of a complaint and the resolution for 1 of 3 patients reviewed, Patient #1 (P1), when agency staff discharged the patient without proper cause or notice and failed to work with P1 when P1 attempted to file a grievance.