Am Home Health Care, Inc

The home health agency failed to maintain documentation which evidenced HHAs received 75 hours of training prior to providing care for 4 of 4 personnel files reviewed of HHAs hired on or after 5/09/2025 (HHA 1, 2, 3, 4).

The administrator failed to ensure all training for newly hired employees was provided in a format employees could understand for 3 of 4 personnel files reviewed of HHAs hired on or after 5/09/2025 (HHA 1, 2, 3).

Failed to ensure the HHA training contractor provided HHA training independently for 1 of 1 agency.

The home health agency failed to ensure home health aides (HHA) received the required 75-hour training for 3 of 4 new hired HHA’s since last survey (HHA 21, HHA 23 and HHA 24).

The home health agency failed to ensure the home health aide training included a minimum of 16 hours of classroom training and 16 hours of practical training for 3 of 4 new hired HHA’s since last survey (HHA 21, HHA 23 and HHA 24).

The home health agency failed to include accurate visit frequency orders on the plan of care (POC) (See G574); failed to ensure services were provided only as ordered by a physician or allowed practitioner (See G580); failed to ensure the POC was reviewed with the physician at start of care (SOC)…

The agency failed to ensure employees followed standards of practice for hand hygiene and bag technique to reduce the spread of infections for 3 of 3 home visit observations (Patients #1, 2, and 3).

416 OASIS Privacy Based on record review and interview, the agency failed to provide patients with the OASIS privacy notice for 1 of 1 agency surveyed.

The home health agency failed to ensure an accurate review of all medications for 1 of 3 patients reviewed with home visit observations (Patient #3).

The home health agency failed to ensure the plan of care included accurate visit frequency orders for 1 of 2 active records reviewed with home health aide (HHA) and attendant care services ordered (Patient #2).

The home health agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for 4 of 5 active patient records reviewed (Patient #1, 3, 4 and 6).

The home health agency failed to ensure the plan of care (POC) was reviewed with the physician at start of care (SOC) and/or at recertification for 4 of 4 active patient records reviewed (Patient #1, 2, 3, and 4).

The home health agency failed to ensure the physician or allowed practitioner was promptly notified of the need to alter the plan of care (POC) related to the start of care (SOC) date for 4 of 4 patient records reviewed with mock SOC and POC dates (Patient #3, 4, 5 and 6).

The agency failed to document improvement actions and evaluate the success of the actions on quality improvement activities for 1 of 1 agency surveyed.

The home health agency failed to ensure the registered nurse (RN) supervised the home health aide (HHA) every 14 days for 1 of 2 active clinical records reviewed of patients receiving skilled nurse (SN) and HHA services (Patient #2).

The agency failed to ensure all staff followed standard precautions and infection control for 3 of 3 home visits observed (#1, 2, 4).

The agency failed to ensure the home health aide competency included the subject area of recognizing and reporting changes in skin condition for 4 of 4 employee files reviewed (Home Health Aide J, K, M, N).

The agency failed to ensure the home health aide care plan was specific to the needs of the patient for 1 of 5 records reviewed who received home health aide services (#1).

The home health agency failed to ensure patients' plan of care included (but not limited to) all pertinent diagnoses, all medications and treatments, and measurable outcomes for 5 of 7 records reviewed (#1, 2, 3, 4, 5).

The agency failed to ensure the home health aide followed the plan of care for 5 of 5 records reviewed that were assigned home health aides (#1, 4, 5, 6, 7).

The agency failed to have a policy to address the use of volunteers for 1 of 1 agency Findings include: A review of the agency emergency management policies on 8/14/18 at 3:28 PM failed to evidence a policy for the use of volunteers in an emergency.

The agency failed to include specific fluid and dietary restrictions and instructions regarding the dialysis fistula on the aide plan of care for 2 of 7 patients.

The RN failed to conduct the Initial Assessment 48 hours after the referral for 1 of 7 clinical records reviewed.

The agency failed to ensure the medical plan of care included the types of supplies and equipment required, the nutritional requirements, all medications and treatments and safety measures to protect against injury for 6 of 7 patient records reviewed.

The agency failed to integrate all orders from all physicians involved in the the plan of care to assure coordination of all services and interventions for 2 of 2 clinical records reviewed of patients receiving dialysis treatments in a sample of 7 (Patients # 1 and 2) Findings Include: 1. An agency…