Anew Home Health

The agency failed to ensure patient rights were protected; when the agency failed to ensure skilled nursing services avoided harm to the patient (see G0430), failed to ensure the patient's representative was informed of any changes in the care to be furnished (see G0434), failed to ensure proper…

The agency failed to ensure the ordered frequency of services was followed, the agency failed to ensure patients received services ordered in the plan of care, and failed to ensure the physician had been notified when scheduled visits for wound care were missed reviewed (see G0572), failed to…

The agency failed to ensure the ordered frequency of services was followed, in 2 of 2 active records with frequencies not followed, (Patients #3 and #5), the agency failed to ensure patients received services ordered in the plan of care, in 1 of 1 closed record reviewed with services not received…

The agency failed to ensure skilled nursing services were provided to avoid harm to the patient in 1 of 2 discharged wound care patients.

The agency failed to ensure the patient's representative was informed of any changes in the care to be furnished in 1 of 2 discharged wound care patients.

The Agency failed to ensure proper notice was provided to the patient and/or representative of a reduction in services when services might be non-covered in 1 of 2 discharged record reviews.

The agency failed to ensure the initial assessment was completed within 48 hours of the referral in 2 of 6 active record reviews (Patients #3 and 5) and 1 of 2 closed records reviewed.

The agency failed to ensure the individualized plan of care included all orders, supplies and equipment, and rehab potential for 1 of 6 active records reviewed.

The skilled nurses failed to ensure physician orders were in place prior to performing catheter care treatment and catheter changes to 1 of 1 active clinical records reviewed of patients with catheters.

The agency failed to ensure nursing staff notified the relevant provider of a change in condition in a patient's wound in 1 of 1 discharge record with change in condition (Patient #1) and 2 of 2 of active records with a change in condition reviewed.

The agency failed to coordinate care amongst all agency members in 1 of 1 active clinical records reviewed with care being provided by a LPN.

The agency failed to ensure patient clinical records included information about the services the patient received from other agencies and failed to ensure they coordinated care delivery to meet the patient’s needs for 1 of 1 (Patient: #6) active patient records reviewed of patients receiving…

The agency failed to ensure supervisory visits were completed for LPNs providing care in 1 of 1 active clinical records reviewed receiving LPN services.

The agency failed to evidence the Administrator reported to the Governing Body for 1 of 1 home health agency.

The agency failed to develop a standard of practice or policy and procedures for wound care provided in 1 of 1 agency.

The agency failed to ensure the comprehensive emergency preparedness program met all requirements to meet the health, safety, and security needs of their staff and patient population for 1 of 1 agency (E0001); failed to ensure they completed a facility-based and community-based risk assessment…

The agency failed to ensure a wound vac procedure was performed accurately and by a Skilled Nurse who was checked off on wound vac procedures prior to performing for 1 of 1 patient with a wound vac (#2).

The agency failed to develop an effective, ongoing, home health agency wide, data driven Quality Assessment Performance Improvement (QAPI) program (G640); failed to show measurable improvement in health outcomes, patient safety, and quality of care and failed to measure, analyze, and track the…

The facility failed to ensure the nurse used a barrier between the tablet and patient's home for 1 of 7 home visits, and failed to ensure infection control was maintained during a wound vac procedure for 1 of 1 patient (See G682); and failed to ensure their policy was updated and reflected the new…

The facility failed to disclose a branch location for 1 of 1 home health location operating as a drop site in Evansville, and 1 of 1 home health location operating out of a hospice office in Indianapolis, to the state agency (Indiana State Department of Health) and the Centers for Medicare and…

The agency failed to ensure Outcome Assessment and Information Set (OASIS) data was submitted within 30 days of collection for 3 of 3 months of OASIS submission reports reviewed for patients who had OASIS data submissions in December 2018, and January and February 2019. (Patient 15, 16, 17, 18, 19…

The agency failed to ensure skilled nursing and physical therapy provided services as ordered per the plan of care for 1 of 10 active patient records reviewed (#7), failed to ensure skilled nursing did not provide wound treatments prior to obtaining a verbal order in 1 of 5 records reviewed (#7) of…

The facility failed to ensure the nurse used a barrier between the tablet and patient's home for 1 of 7 home visits, and failed to ensure infection control was maintained during a wound vac procedure for 1 of 1 patient.

The agency failed to ensure their policy was updated and reflected the new name of the agency as of May 2017 and failed to ensure they maintained an agency-wide Infection Control Program for the surveillance, identification, prevention, control, and investigation of infectious and communicable…

The home health aide failed to provide services as instructed on the aide care plan for 1 of 2 records reviewed of patients receiving home health aide services in a sample of 10 active patient records reviewed.

The governing body failed to exercise its responsibility for the agency's management by having failed to adopt policies in the name of the agency, Physicians HomeCare, LLC., for 1 of 1 governing body.

The facility failed to ensure clinical documents were signed by clinicians and/or physicians in a timely manner for 9 of 14 records reviewed.

The agency failed to ensure all complaints were logged in their complaint binder, thoroughly investigated, indicated when the complaint was resolved, and failed to indicate if the complainant was satisfied with the resolution for 8 of 8 complaints reviewed.

The agency failed to ensure the agency developed and adopted written policies and procedures on the acceptance, processing, review, and resolution of patient complaints, how they should be developed and communicated to staff, intake procedures, timeframe's for investigations, documentation that an…

The agency failed to ensure the Registered Nurse conducted an initial assessment within 48 hours of the referral or on an unsigned physician ordered the start of care date for 1 of 10 active patient records reviewed, and 3 of 4 closed records reviewed in a sample of 14. (Patient 6, 7, 9, 14 )…

The agency failed to ensure a patient's comprehensive assessment/OASIS was completed no more than 5 days after the start of care date for 1 (Patient #10) of 14 patients whose clinical records was reviewed.

The agency failed to ensure the medication review identified all the medications a patient was taking, and failed to ensure the clinicians notified the attending physician of identified significant drug interactions for 1 (Patient #12) of 14 patients whose clinical records were reviewed.

The agency failed to ensure wound identification/ location was included in the plan of care for 3 of 5 records reviewed of patients with wounds in a sample of 10 active patient records (#3, 7, 14), failed to ensure the patient's plan of care included an order for skilled nursing frequency and…

The agency failed to ensure that physical therapy did not continue services absent of a physician's order for 1 of 7 record reviews of patients receiving physical therapy (#7), failed to ensure services were furnished only after obtaining a physician's verbal order for disciplines, frequency of…

The agency failed to ensure verbal orders contained the location of wound treatments to be provided in 1 of 5 records reviewed of patients with wounds in a sample of 10 active patient records.

The agency failed to ensure the Registered Nurse notified the physician when the agency failed to admit the patient on the physician ordered start of care date, failed to ensure the physician was notified after completing the comprehensive assessment when it was discovered the patient needed…

The Registered Nurse failed to ensure that patients skin impairments were assessed with each nursing visit and measured weekly in 1 of 5 records reviewed of patients with skin impairments/ wounds in a sample of 10 active patient records.

The facility failed to ensure care and services were provided per the plan of care for 1 of 10 active records reviewed (Patient 3), and failed to ensure clinicians' visit notes documented the provision of all ordered care for 2 (Patient #10 and 11) of 10 active patients, of a total sample of 14…

The agency failed to ensure patients and/ or their representatives were educated per the plan of care for 1 of 10 active patient records reviewed.

The clinical manager failed to ensure clinicians continually assessed a patient's need for medication education for 1 (Patient #12) of 14 patients whose clinical record was reviewed.

The clinical manager failed to ensure the registered nurse, employee W, developed a plan of care with frequency and duration of skilled nursing visits for 1 (Patient #10) of 10 active patients, of a total sample of 14 patients; failed to ensure the registered nurse, employee W, assessed a diabetic…

The facility failed to disclose a branch location for 1 of 1 home health location operating as a drop site in Evansville, and 1 of 1 home health location operating out of a hospice office in Indianapolis, to the state agency (Indiana State Department of Health) and the Centers for Medicare and…

The agency failed to ensure the clinical record contained a comprehensive recertification assessment for 1 of 3 active records reviewed of patients who were recertified in a sample of 10 active records.