Aquarius Home Care, LLC

The Agency failed to ensure its disciplines utilized Infection Control standards of practice during the provision of care and services for 1 (P-1) patient observed during a home visit from a total of 7 sampled records reviewed, resulting in the potential for the development and spread of infection.

The agency failed to ensure that 3 (P's #1, 2, 3) of 3 patients observed during home visits were included in the overall planning of their care including informing the patient/caregiver in advance of the days in which services would be provided, from a total of 7 sampled records reviewed, resulting…

The agency failed to ensure the patient's activity of daily living needs were adequately met in the patient's home for 2 (P#'s 2, 3) patients observed during home visits and required assistance with grooming, from a total of 7 sampled patients reviewed, resulting in the potential for poor hygiene…

The agency failed to ensure the comprehensive assessment included a review of all medications at the start of care and the resumption of care, in 3 (P#'s 3, 5, 7) records, in order to determine any untoward effects, from a total of 7 sampled records reviewed, resulting in the potential for harmful…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, and objectively measurable goals specific to the needs of the patient and failed to ensure all prescribed medications had been included in the plan of care, for 3 (P's #1, 2, 4) of 3…

It was not clear if this was an actual or stated weight.

The agency failed to ensure services were provided as ordered by the Physician for 1 (P-1) patient who required Occupational Therapy services, from a total of 7 sampled records reviewed, resulting in the potential for physiological decline and unmet care needs.

The agency failed to insure a detailed discharge summary was sent to the physician within 5 business days of discharge for 2 (P#'s 4, 5) discharge records reviewed; and failed to ensure a detailed transfer summary was sent to the receiving health care facility within 2 business of becoming aware of…

As evidenced by: Based on record review and interview, it was determined that the Agency failed to ensure the Registered Nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status for 1 (MR # 5) record…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control of infectious and communicable diseases including Covid-19, and failed to develop a method of screening visitors, staff employed by this agency, and those granted clinical…

The Agency failed to ensure 1 (MR #5) of 6 patients with Physical Therapy services ordered, was included in the overall planning of care including the timeliness of services received; and failed to inform the patient in advance of the days in which services would be provided resulting in…

The Agency failed to ensure the Registered Nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status for 1 (MR # 5) record in which Skilled Nursing services were needed, from a total of 7 records…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included accurate dates of onset/exacerbation, past treatments and outcomes, and history of events leading to current home care…

The Agency failed to follow up on the initial medication review and inform the Physician, in a timely manner, of severe drug interactions in 4 (MR's #2, 5, 6, 7) of 4 records with severe drug interactions identified, from a total of 7 sampled records reviewed, resulting in the potential for harmful…

The agency failed to ensure the plan of care included complete and pertinent orders and measureable goals in 4 of 7 records reviewed out of a total of 7 records reviewed (MR1, 2, 3 and 4), resulting in incomplete care for the patient and potential for unidentified goals.

The Agency failed to include contact information for the Home Health Agency's Clinical Manager in the Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

The Agency failed to ensure that Medical Social Work services were provided for 1 (MR #7) of 2 records with Medical Social Work services ordered, and failed to provide nursing and physical therapy services as ordered in the plan of care in 1 of 7 records reviewed (MR#1) from a total of 7 sample…

The Agency failed to ensure on-site supervisory visits to the patient's home were made in order to supervise the care provided by the Home Health Aide for 2 (MR #3 and 5) of 4 records with Home Health Aide services ordered, from a total of 7 sampled records reviewed resulting in the potential for…

The home health agency failed to include in the Emergency Preparedness Plan a communication plan with contact information of the Federal, State and local emergency preparedness staff which will provide assistance during an emergency.

The home health agency's emergency preparedness plan failed to include an alternate means of communication during an emergency.

The home health agency failed to provide the initial training in emergency preparedness policy and procedures to all staff, including services provided under arrangement.

The Registered Nurse (RN) failed to ensure the written plan of care for the Home Health Aide provided specific guidance, safety precautions and care instructions on the needs of the patient, and was revised and kept current for 6 of 6 records reviewed with services provided by a home health aide…

The registered nurse (RN) failed to document a specific comprehensive assessment, for each patient, that include the patient's current health status and relevant past medical history, with past treatments and previous outcomes and all active health and medical problems, with dates of onset and/or…

The registered nurse failed to document on the comprehensive assessment the primary caregivers' willingness, ability, their availability and scheduled hours and days to provide care for the patients in 4 of 7 records reviewed (M.R.s# 1, 3, 4, and 6), of a total of 7 records reviewed, for a…

The HHA (Home Health Agency) failed to ensure the Plan of Care (POC) was individualized according to the patients' needs, and the goals and outcomes were patient specific and measurable in 7 of 7 records reviewed (M.R.#s 1, 2, 3, 4, 5, 6, and 7), for a total of 7 records reviewed, for a plan of…

The HHA (Home Health Agency) failed to ensure the patients' goals and outcomes were specific to the patients' diagnoses and needs and measurable, and the staff's visit notes documented the patient's progress towards achieving those identified goals in 7 of 7 records reviewed (M.R.#s 1, 2, 3, 4, 5…