Allpoints Home Health Care Inc
Inspection 2024-09-20
· Recertification · 30 deficiencies · CMS source report (PDF)The agency failed to the emergency preparedness plan was developed by utilizing a facility-based and community-based risk assessment utilizing an all hazards approach (E006); failed to include a process for cooperation and collaboration with local, state, and federal emergency preparedness…
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The home health agency failed to ensure the comprehensive assessment: was completed withing 48 hours of referral (See tag G0514); included the physical and psychosocial status (See tag G0528); included the measurable outcomes and goals (See tag G0530); included a medication review of all patient…
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The agency failed to follow agency policy regarding the discharge planning process to include communicating with the physician to determine the physician was in agreement with the measurable outcomes have been achieved, providing the physician the discharge summary with all required elements within…
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The home health agency failed to ensure: the needs of the patient were met (See tag G0570); the plan of care was reviewed by the physician, individualized and followed by all agency staff (See tag G0572); the plan of care included all required information / elements for the treatment of the patient…
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The agency failed to: ensure the governing body approved the frequency of the data collection (G0644), the QAPI program focused on high risk areas (G0646),the quality assessment and performance improvement (QAPI) program utilized quality indicator data to include OASIS (Outcome and Assessment…
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The home health agency failed to ensure: all employees practiced standard/universal precautions to prevent the transmission of infections (See tag G0682); to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable…
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The administrator failed to: ensure the organizational structure was readily identifiable and included the lines of authority and services provided (G0940); ensure the Administrator was responsible for the day-to-day operations (G0948); and ensure the Clinical Manager was coordinating the…
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The agency failed to ensure services were provided as directed in the plan of care in 4 of 5 active clinical records reviewed.
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The agency failed to ensure all employees practiced standard/universal precautions to prevent the transmission of infections and failed to follow agency infection control policies and procedures in 3 of 3 home visits.
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The agency failed to follow its policy to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases in 2 of 3 active clinical records reviewed with infections or antibiotic therapy.
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The agency failed to ensure the home health aide (HHA) had complete, patient-specific written patient care instructions to be performed by the home health aides in 1 of 1 active clinical record reviewed with home health aide services.
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The agency failed to ensure the Registered Nurse (RN) observed and assessed the home health aide (HHA) while providing care in 3 of 3 HHA personnel files reviewed.
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The agency failed to ensure the clinicians accurately and timely documented in the clinical record in 4 of 5 active clinical records reviewed.
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The agency failed to ensure the patient was informed of and consented to in advance of care the disciplines that were to furnish care and the frequency of visits in 1 of 1 clinical record reviewed with a start of care after 9/1/2024. (Patient #3) The findings include: A review of a policy dated…
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The agency failed to discharge the patient from home health services only if the physician agreed the measurable outcomes and goals set forth in the plan of care had been achieved in 2 of 2 closed records reviewed.
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The agency failed to conduct an initial visit within 48 hours from the time of referral in 2 of 4 active clinical records reviewed with starts of care since 8/1/2024. (Patient #1 and 3) The findings include: *The record reviewed for Patient #1 evidenced a referral document from Entity 2 dated…
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The agency failed to ensure the comprehensive assessment included a complete physical assessment in 4 of 5 active clinical records reviewed.
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The agency failed to ensure the comprehensive assessment included an assessment of the patient’s strengths, goals, and care preferences identified by the patient and the measurable outcomes identified by the agency in 2 of 3 active clinical records reviewed in the agency’s new electronic medical…
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The agency failed to ensure all medications were reviewed for potential adverse effects and drug reactions in 4 of 5 active clinical records reviewed.
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The agency failed to ensure the comprehensive assessment included the assessment of the primary caregiver and their ability, availability, and willingness to provide care in 1 of 1 active clinical record reviewed with a primary diagnosis of carcinoma (skin cancer).
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The agency failed to ensure a comprehensive assessment was completed at the time of discharge in 1 of 2 closed records reviewed.
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The agency failed to evidence the plan of care was individualized to the needs of the patient to include the medications, treatments, measurable goals, and medical equipment in 4 of 5 active clinical records reviewed.
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The agency failed to provide services as directed only by the physician in 1 of 1 active clinical records reviewed receiving care from an oncologist.
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The agency failed to notify the physician of changes in patient’s condition or a need to change the plan of care in 2 of 5 active clinical records reviewed.
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The agency failed to ensure the plan of care was revised as necessary in 3 of 5 active clinical records reviewed.
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The agency failed to coordinate care in 1 of 1 active clinical record reviewed with home health aide services.
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The agency failed to evidence they provided the patient and caregiver in writing with a copy of the visit schedule in 3 of 3 home visits conducted.
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The agency failed to provide the patient and caregiver in writing with a copy of the medication list in 1 of 1 home visits conducted with an Occupational Therapist.
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The agency failed to provide the patient and caregiver in writing with the treatments to be administered by agency personnel in 2 of 3 home visits observations (Patient # 2 and 5).
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The home health aide (HHA) failed to provide services as directed in the care plan in 1 of 1 active clinical records reviewed with HHA services.
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