American Home Health Care

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The agency failed to ensure patients were informed of the name and contact information for the agency's administrator for 7 of 7 records reviewed (MR# 1, 2, 3, 4, 5, 6, 7), resulting in the potential for patient complaints or concerns to go unaddressed which could affect the 14 patients the agency…

The agency failed to inform the patient in advance of the disciplines that will furnish care in 1 records reviewed (MR# 5) from a total sample of 7 records reviewed, resulting in the patient not having knowledge of the plan for treatment and potential unmet care needs.

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 4 (MR# 1, 2, 6, 7) of 5 discharged records, resulting in the patient being denied the right to appeal the decision to end Medicare…

The Agency failed to advise their patients of the names, addresses and telephone numbers of federally funded and state-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs.

The Agency failed to ensure a discharge summary was forwarded to the physician within 5 days of discharge in 5 (MR# 1, 2, 5, 6, 7), of 5 closed records, from a total of 7 records reviewed, resulting in the potential for unidentified continuing health care concerns and unmet care needs.

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects in 5 records, from a total of 7 sampled records reviewed (MR's #1, 2, 3, 5, and 7), resulting in improper documentation.

The agency failed to ensure the plan of care was patient specific and individualized to the patient's identified needs, covered all pertinent interventions with reportable parameters, and measurable goals for 7 of 7 records reviewed (MR#'s 1, 2, 3, 4, 5, 6, and 7), resulting in patients not…

The registered nurse failed to supervise the services provided by the Licensed Practical Nurse (LPN) every 30 days for 2 of 2 records reviewed with LPN services (MR# 2, and 7) out of a total of 7 record review with nursing services, resulting in failure of the LPN to provide services as ordered by…

The agency failed to ensure the clinical record included all clinical notes in 1 of 7 records reviewed (MR# 2), resulting in an incomplete clinical record that fails to communicate a clear and concise clinical picture of the patient's health status and progress towards goals.