Amara Home Care

The agency failed to ensure all patients had an individualized physician’s plan of care and failed to notify the physician of all missed visits.

The agency failed to develop, implement, evaluate, and maintain an effective, ongoing Quality Assessment and Performance Improvement (QAPI) program.

The provider failed to update and review their emergency preparedness plan.

The provider failed to train their staff on the emergency preparedness plan.

The provider failed to conduct exercises to test their emergency plan at least annually.

The agency failed to ensure all OASIS submissions were within 30 days of completion.

The agency failed to ensure all patients had an individualized physician’s plan of care.

The agency failed to develop, implement, evaluate, and maintain Quality Assessment and Performance Improvement (QAPI) program.

The agency failed to conduct performance improvement projects.

The agency failed to ensure a home health aide (HHA) care plan was written by the registered nurse for every HHA providing care.

The agency failed to establish a Governing Body.

The agency failed to ensure the medications taken by the patients match the medication profile in the medical record.

The agency failed to ensure the services provided were per physician orders.

The agency failed to ensure the physician’s plan of care was reviewed and signed every 60 days.

Staff interview the agency failed to ensure the physician had been notified of a discharge.

The agency failed to ensure the registered nurse made an on-site visit to the location where the patient is receiving care no less frequently than every 60 days in order to assess the quality of care and services provided by the home health aide (HHA).

The agency failed to ensure the patient received occupational therapy and home health aide services per the plan of care.

The agency failed to ensure the comprehensive assessment included the patients psychosocial status.

The agency failed to ensure the comprehensive assessment included the patient's medical, nursing, rehabilitative, and discharge planning needs.

The agency failed to ensure all medications the patient was taking were reviewed in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug…

The agency failed to ensure the patient received home health aide services as directed on the aide care plan.

The agency failed to ensure a registered nurse made an onsite supervisory visit of the home health aide (HHA) to the patient's home no less frequently than every 14 days.

The agency failed to ensure the registered nurse (RN) made an on-site supervisory visit of the home health aide (HHA) no less frequently than every 60 days in order to observe the HHA while providing care to a patient without any skilled services.

The agency failed to ensure the plan of care for one patient (Patient #2) out of three medical records reviewed contained the frequency and duration of visits to be made.

The agency failed to ensure the personnel policy was followed for one (Staff A) of one home health aide file reviewed.

The agency failed to ensure one patient's medical record (Patient #1) of three medical records reviewed contained documented interventions for home health aide services.

The agency failed to follow the physician's plan of care for two (Patient #1 and Patient #2) of three patients reviewed for compliance with the plan of care in an agency census of 168. Findings include: 1. Review of the medical record for Patient #1 revealed the patient had an agency start of care…