Apex Home Health Care Services

The agency failed to ensure the agency's comprehensive emergency preparedness program's facility and community-based risk assessment, included strategies for addressing the emergency events identified by the risk assessment.

The agency failed to ensure the agency's comprehensive emergency preparedness program addressed their patient population, including the type of services the agency was able to provide in an emergency event.

The agency failed to ensure the emergency preparedness plan included a process for cooperation and collaboration with the State and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, creating the risk of not providing an…

The agency failed to ensure the emergency preparedness plan included the procedure to inform State and local emergency preparedness officials about the patients in need of evacuation during a disaster or emergency situation, creating the risk of not providing an appropriate, consistent, and quality…

The agency failed to ensure the emergency preparedness plan included the procedure to inform the State and local emergency preparedness officials about any on-duty staff and patients they were unable to contact.

The agency failed to ensure the emergency preparedness communication plan included the updated names and contact information of the agency's staff, entities under agreement, and the patients' physicians.

The agency failed to ensure the emergency preparedness communication plan included the contact information for federal, state, tribal, and regional emergency management agencies.

The agency failed to ensure the emergency preparedness communication plan included primary and alternate means for communicating with federal, state, tribal, regional, and local emergency management agencies.

The agency failed to ensure the emergency preparedness communication plan included the means of providing information about the agency to appropriate authorities and personnel.

The agency failed to ensure the treatments were administered only as ordered by the physician for one of 17 sampled patients (Patient 3), creating the risk of not providing appropriate, consistent, and quality care to this patient.

The agency failed to maintain an infection control program related to hand hygiene for one of 17 sampled patients (Patient 10), creating the risk of the spread of infection.

The agency failed to implement and maintain the infection control program including surveillance, identification, prevention, and control, creating the risk of the spread of infections.

The agency failed to ensure their COVID-19 P&P included the process by which staff may request an exemption from the COVID-19 vaccination requirements.

The agency failed to ensure the written assignment for CHHA was consistently prepared by the RN for one of 17 sampled patients (Patient 1), creating the risk of not providing the necessary care and services to this patient.

The agency failed to ensure the entries on the clinical record included the credential of the staff who completed the documents for one of 17 sampled patients (Patient 10), creating the risk of not having the complete and accurate information.

The agency failed to ensure the complaints for one nonsampled patient (Patient A) was thoroughly investigated, creating the risk not providing quality of care and services to this patient.

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs for 14 of 17 sampled patients (Patients 1, 2, 3, 4, 5, 9, 10, 11, 12, 13, 14, 15, 16, and 17), creating the risk of not identifying and addressing the…

The agency failed to ensure the medication profiles were updated to reflect the patients' current medications and included specific indications and parameters for their use for seven of 17 sampled patients (Patients 2, 3, 6, 8, 9, 11, and 12).

The agency failed to ensure the patient's comprehensive assessment was completed accurately at discharge for one of 17 sampled patients (Patient 14), creating the risk of not updating the patient's accurate status.

The agency failed to ensure the POC included specific information related to the patient's medication and fluid restriction for one of 17 sampled patients (Patient 5).

The agency failed to ensure there was an effective coordination of care and services for one of 17 sampled patients (Patient 2), creating the risk of not providing necessary care and services to this patient.

The agency failed to provide the written instructions on the SN visit schedule for one of 17 sampled patients (Patient 8), creating the risk of not providing the necessary information to this patient.

The agency failed to ensure the SN provided care and services in accordance with the POC for seven of 17 sampled patients (Patients 9, 10, 11, 12, 14, 16, and 17), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals prepared complete and accurate clinical notes for five of 17 sampled patients (Patients 6, 8, 12, 14, and 16), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the RN provided supervision to the LVN to ensure quality of care and services were provided as per the agency's P&P for three of 17 sampled patients (Patients 10, 11, and 16), creating the risk for a substandard healthcare outcome to these patients.

The agency failed to ensure the CHHA provided care and services were provided in accordance with the POCs for two of 17 sampled patients (Patient 11 and 12), creating the risk of not providing necessary care and services to these patients.

The agency's Administrator failed to be responsible for the day-to-day operations of the agency by not ensuring the agency’s P&P related to wound care assessment/documentation was implemented.

The agency failed to to send the completed discharge and transfer summaries for two of 17 sampled patients (Patients 13 and 17) to their primary care physicians.

The agency failed to ensure the emergency preparedness plan included the strategies for the emergency events identified by the risk assessment, creating the potential risk of not providing the necessary care and services to the patients during the emergency events.

The agency failed to ensure the emergency preparedness P&P (policy and procedure) included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs…

The agency failed to ensure the initial training for the emergency preparedness P&P was provided to all of the staff including the contracted staff and volunteers.

The agency failed to ensure the OASIS data was transmitted within 30 days of completing the OASIS data sets, creating the risk of not reporting and coordinating patient care assessments timely for the patients receiving care and services at the HHA.

The agency failed to ensure the patients received care and services as written in the POC for six of 15 sampled patients (Patients 1, 2, 5, 7, 12, and 14), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to implement and maintain the infection control program which included surveillance, identification, prevention, control, and investigation of infections, creating the risk of spread of infections.

The agency failed to ensure the written assignment for CHHA was prepared by the RN for one of 15 sampled patients (Patient 2), creating the risk of not providing the necessary care and services to this patient.

The agency failed to ensure the agency's RN provided supervision to the CHHA to ensure quality of care and services provided for one of 15 sampled patients (Patient 15), creating the increased risk of providing substandard healthcare to this patient.

The agency failed to ensure the clinical record was complete for one of 15 sampled patients (Patient 5), creating the risk of substandard care provided to this patient as their clinical information was not complete.

The agency failed to ensure the resolution of the complaints were provided in writing to the patients for three nonsampled patients (Patients A, B, C), creating the risk of violating the patient's rights and not addressing the grievances for the patients.

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs, but no later than 5 calendar days after the SOC date for seven of 15 sampled patients (Patients 1, 2, 4, 6, 7, 12, and 13.), creating the risk of not…

The agency failed to ensure the review of the Medication Profiles identified the drug interaction and lack of specific medication instruction for three of 15 sampled patients (Patients 8, 10, and 13), creating the risk of not identifying the potential adverse effects, significant drug interactions…

The agency failed to ensure the comprehensive assessments were completed within the last 5 days of every 60 days for three of 15 sampled patients (Patients 2, 5, and 7), creating the increased risk of not addressing the care needs for these patients.

The facility failed to ensure the POCs included specific information related to medication administration, wound care, and blood sugar monitoring for six of 15 sampled patients (Patients 1, 3, 7, 5, 12, and 14), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the coordination of care to meet the care needs for five of 15 sampled patients (Patients 1, 5, 7, 14, and 15), creating the risk of not providing the necessary care and services to these patients.

The agency failed to ensure the SN provided care and services in accordance with the POC for six of 15 sampled patients (Patients 1, 2, 5, 7, 12, and 14), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the SN had completed and accurately prepared the clinical notes for four of 15 sampled patients (Patients 1, 2, 4, and 15), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the CHHA provided care and services in accordance with the POC for one of 15 sampled patients (Patient 15), creating the risk of not providing necessary care and services to this patient.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&P addressing the employee's physical examination and TB screening was not implemented for one employee (LVN 2), creating the increased risk of having unqualified staff provided care to the patients.

The agency failed to ensure the completed transfer summary was sent to the physician within two business days of becoming aware of the unplanned transfer for one of 15 sampled patients (Patient 1), creating the risk of the physician not knowing the patient's condition to anticipate the patient's…