American Homecare Services, Inc

The agency failed to ensure the registered nurse identified the patient's dialysis schedule and documented the presence of a central catheter on the comprehensive assessment for 1 of 7 records reviewed (MR#5) (See G528); failed to ensure the comprehensive assessment and updates to the comprehensive…

The agency failed to develop a performance improvement project in 2018 (See G658).

The agency failed to ensure the registered nurse prepared written patient care instructions for the home health aide that included reportable vital sign parameters prior to providing care for 2 of 2 patients (MR# 2 and 6) in which aide services were provided (See G798); failed to ensure the home…

The agency failed to develop written emergency preparedness policies regarding annual testing of the emergency plan.

The agency failed to develop written emergency preparedness policies regarding the use/role of volunteers during an emergency.

The agency failed to conduct exercises to annually test the emergency plan or provide documentation of an actual event that would qualify as a test of the emergency plan; failed to analyze the agency's response to tabletop exercises; and revise the emergency plan as needed.

The agency failed to develop a performance improvement project (PIP) in 2018, resulting in the agency's inability to improve patient outcomes, safety, and quality of care for the agency's 88 patients admitted in the past year.

The agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the agency's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential spread of…

The agency failed to ensure the registered nurse prepared written patient care instructions for the home health aide that included reportable vital sign parameters prior to providing care for 2 of 2 patients (MR# 2 and 6) in which aide services were provided, resulting in the potential for unmet…

The agency failed to ensure the contracts (Contract #1 and #2), included all the regulatory language specified in paragraph (f) of this section and with the requirements of section 1861(w) of the Act (42 U.S.C 1395x(w)), resulting in the potential to adversely affect the finances of all patients…

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 Home Health Agency (HHA) failed to inform their patients of the names, addresses and phone numbers of the Federally-funded and State-funded entities, in the areas where their patient's reside for 23 of 23 active patients, resulting in failure to maintain the patients' informational rights and…

The agency failed to ensure the registered nurse identified the patient's dialysis schedule and documented the presence of a central catheter on the comprehensive assessment for 1 of 7 records reviewed (MR#5), resulting in incomplete clinical information to assist in determining the needs of the…

The Agency (HHA) failed to ensure the comprehensive assessment and updates to the comprehensive assessment included a review of all medications to determine any adverse effects, failed to document the findings of the drug regimen review as required and failed to ensure the physician was notified of…

The agency failed to ensure the comprehensive assessment was updated and revised within 48 hours of the patient's return home post discharge from a hospital for 1 of 1 records reviewed (MR# 5) in which care had been resumed following hospitalization, resulting in the delay of home health services…

The agency failed to ensure the comprehensive assessment (including OASIS, outcome and assessment information set) was updated at the time of discharge in 1 of 2 (MR#6) discharged records reviewed, resulting in no assessment of the patient's health status at the time of discharge and no summary of…

The Home Health Agency (HHA) failed to ensure goals on the Plan of Care (POC) were measurable in 7 of 7 records reviewed (M.R.#s 1, 2, 3, 4, 5, 6, and 7), resulting in the potential for a plan of care not meeting the patient's needs.

The agency failed to ensure that physical therapy (PT) services were provided in accordance with the physician's orders in the plan of care for 1 of 7 (MR#6) records reviewed in which PT services were provided, resulting in the potential for decline in physical functioning, unidentified health…

The agency failed to ensure the home health aide provided services as ordered in the plan of care for 1 of 2 patients (MR# 6) in which aide services were provided, resulting in the patient not receiving services as ordered.

The agency failed to ensure the registered nurse completed an on-site supervisory visit to the patient's home at least every 14 days to supervise the services that were provided by the home health aide (Aide) for 2 of 2 records reviewed (MR #2 and 6) in which aide services had been documented for a…

The agency failed to ensure that 2 of 2 contracts (Contracts #1 and 2) included the provision that the Home Health Agency (HHA) must maintain overall responsibility for the services provided under contract.

The agency failed to ensure the clinical record included all clinical notes or updates of the comprehensive assessment for 2 of 7 records reviewed (MR# 5 and 6), resulting in an incomplete clinical record that fails to communicate a clear and concise clinical picture of the patient's health status…

The agency failed to ensure a discharge summary was completed and sent to the physician within 5 business days of the patient's discharge for 1 of 2 records reviewed (MR#6) in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's health…