Aloha Healthcare

The facility failed to notify the physician for two of ten sampled patients’ (Patients 8 and 9) missed home visits when: A.

The facility failed to ensure one staff member (Physical Therapy Assistant 1 – PTA 1) followed infection control guidelines when he placed his equipment bag directly on Patient 3’s dining room chair (located in the kitchen) without the use of a barrier.

The facility failed to ensure four of 10 sampled patients (Patients 3, 5, 7, and 8) had an initial assessment (an assessment done to determine the immediate needs of a new home health patient) done within 48 hours of physician referral for home health services or discharge from the hospital.

The facility failed to ensure a review of all medications a patient is taking was conducted (medication reconciliation) for one of four patients (Patient 1) reviewed for medications when there were discrepancies in the medications taken at home when compared to Patient 1’s medication profile (a…

The hospice agency failed to ensure that the Condition of Participation regarding Care Planning, coordination and quality of care was met as follows: The hospice agency failed to follow the plan of care (POC) for three of 10 sampled patients (Patient 2, 5 and 8).

The agency failed to ensure the Condition of Participation for Infection Control were met as follows: The hospice agency failed to have systems in place to prevent the spread of infection for three of the 10 sampled patients (Patient 3, 5 and 8) by failing to ensure Patient 5 was provided a sharps…

The agency failed to ensure the Condition of Participation regarding Skilled Professional Services was met as follows: The home health agency (HHA) failed to ensure the skilled nurse (SN) assessed the skin for Patient 8 as ordered by the physician (Refer to G0704).

The agency failed to ensure the Condition of Participation regarding Organization and administration of Services was met as follows: The agency failed to have the governing body that ensure a plan of care was implemented and Patient 8’s wound was assessed and/or treated for one of 10 sampled…

The Home Health Agency (HHA) failed to develop and conduct exercises to test the emergency plan annually to ensure each employee is aware of their duties in the event of an emergency or disaster.

The home health agency (HHA) failed to follow the plan of care (POC) for three of ten sampled patients (Patient 2, 5 and 8).

The agency failed to follow accepted standard precautions to prevent transmission of infection for three of ten sampled patients (Patient 3, 5 & 8) and failed to implement COVID-19 (highly contagious respiratory disease caused by a virus that can spread from person to person) procedures and policy…

The home health agency (HHA) failed to ensure the skilled nurse (SN) assessed the skin for one of ten sampled patient (Patient 8).

The home health agency (HHA) governing body failed to ensure of the plan of care (POC) was implemented for one of ten sampled patient (Patient 8).

The Home Health Agency (HHA) failed to ensure the accuracy of the Outcome and Assessment Information Set (OASIS, used to collect and report assessment data) for one of ten sampled patient (Patient 4).

The home health agency (HHA) failed to ensure patient rights were provided for one of ten sample selected patient (Patient 8).

The home health agency (HHA) failed to maintain an accurate, current medication profile for three of ten patients (Patients 3, 4 and 5).

The home health agency (HHA) failed to follow the physician's order for the licensed nurse to assess the patient's skin breakdown at each visit for one of ten sampled patient (Patient 8).

The home health agency (HHA) failed to follow the plan of care (POC) for one of ten sampled patients (Patient 8).

The agency staff failed to submit nursing clinical notes within the time frame as indicated in the facility's policy for two of ten sampled patients (Patient 5 and 7).

The Home Health Agency (HHA) failed to ensure that the Licensed Vocational Nurse (LVN) was qualified per the agency’s job description.

The agency staff failed to ensure that the comprehensive nursing assessment was updated for one out of 13 sample patients.

The home health agency staff failed to ensure care followed the written plan of care for three of 13 sampled patients (Patient 4, 9, 10).