Angels of Summit Home Health
Inspection 2021-06-25
· Complaint · 1 deficiencies · CMS source report (PDF)The facility failed to ensure patients of the agency were educated on the protocol of electronic signature on home visit documents in one of one patient (Patient 1).
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Inspection 2018-07-26
· Complaint, Sample Validation · 23 deficiencies · CMS source report (PDF)The home health agency (HHA) failed to ensure the Conditions of Participation for Care Planning, Coordination and Quality of Care were met as follows: G572 The HHA failed to ensure communication with the patient's physician for approval of orders, disciplines, treatments, and frequency of visits…
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The home health agency (HHA) failed to ensure the Conditions of Participation for quality assessment and performance improvement were met as follows: G642 The home health agency (HHA) failed to develop, implement, evaluate, and maintain an effective, ongoing HHA wide data-driven quality improvement…
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The home health agency (HHA) failed to ensure communication with the patient's physician for approval of treatments and services prior to implementing the plan of care (POC) for four of eight sampled patients (Patients 1, 3, 4, and 5).
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The home health agency (HHA) failed to develop, implement, evaluate, and maintain an effective, ongoing HHA wide data-driven quality improvement (QI) program that measures, analyzes, and tracks quality indicators, including adverse patient events.
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The home health agency (HHA) failed to develop, implement, evaluate, and maintain an effective, ongoing HHA wide data-driven quality improvement (QI) program that uses quality data to monitor the effectiveness and safety of services and identify opportunities for improvement.
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The home health agency (HHA) failed to develop, implement, evaluate, and maintain an effective, ongoing HHA wide data-driven quality improvement (QI) program that focuses on: 1. High risk, high volume, or problem-prone areas of service, and considered the incidence, prevalence, and severity of…
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The home health agency (HHA) failed to ensure the agency developed and implemented a written performance improvement project which reflected the scope, complexity, and past performance of services and operations.
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The home health agency (HHA) failed to ensure the governing board assumed responsibility for the quality improvement (QI) program to include: 1. Evidence of a QI program which is defined, implemented, and maintained.
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The home health agency (HHA) failed to ensure aseptic technique (free from germs that cause disease to prevent contamination of the patient's wound and supplies) was followed during wound care for one of three wound care observations (Patient 6).
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The Home Health Agency (HHA) was not in compliance with California State regulations which require the HHA to submit all changes for the position of director of patient care services (DPCS) to the Department.
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The home health agency (HHA) failed to ensure one of eight sampled patient's (Patient 8) signed the admission agreement which indicated the patient received a copy of the patient's rights and responsibilities.
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The home health agency (HHA) failed to ensure the patient's clinical record was confidential and secure for one of eight sampled patients (Patient 6) when the skilled nurse (SN) used a personal cell phone to take photographs of Patient 6's wounds with plans to use personal email to send the…
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The home health agency (HHA) failed to provide one of three home visit patients (Patient 5) with the toll free home health hot line for reporting complaints.
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The home health agency (HHA) failed to complete an accurate medication review for three of three home visit patients (Patient 5, 6 and 7).
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The home health agency (HHA) failed to ensure the individualized plan of care (POC) included accurate specific interventions for three of eight sampled patients (Patients 2, 6, and 7).
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The home health agency (HHA) failed to ensure there were physician orders for changes in the services and treatments provided for four of eight sampled patients (Patients 1, 2, 4, and 5) Patient 1 The HHA did not notify the physician when they failed to provide visits as indicated in the POC during…
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The home health agency (HHA) failed to have physician orders and plans of care (POC) authenticated and dated by the physician in accordance with agency policy for five of eight sampled patients (Patient 1, 2, 3, 4, and 5).
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The home health agency (HHA) failed to notify the physician timely when one of eight sampled patients (Patient 1) was hospitalized.
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The home health agency (HHA) failed to notify the physician when the patient was discharged for one of eight sampled patients (Patient 4).
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The home health agency (HHA) failed to provide written visit schedules that were consistent with the most current plan of care (POC) to two of three patients with home visits (Patients 6 and 7).
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The home health agency (HHA) failed to ensure an accurate medication schedule with instructions was in the home for two of three home visit patients (Patients 6 and 7).
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The home health agency (HHA) failed to ensure clinical records were completed timely for three of eight sampled patients (Patients 2, 5 and 6).
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The home health agency (HHA) failed to ensure the Director of Patient Care Services (DPCS) or designee was immediately accessible by telecommunications during operating hours.
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