Arc Vista Home Care, Inc

The agency failed to ensure the registered nurse prepared written patient care instructions that included the frequency and duration of visits for the aide for 5 of 6 (MR# 2, 3, 5, 6, 7) records reviewed in which aide services were provided, resulting in a lack of direction regarding weekly visits…

The agency failed to ensure legible documentation was written within the patient's visit notes in 3 of 7 (MR# 2, 3 and 4) records reviewed resulting in the inability to decipher the care provided to the patient.

The agency failed to include objectively measurable goals in the Plans of Care (POC) in 4 of 8 (MR#s 1, 2, 3, 4) records reviewed, resulting in the inability to determine the patient's progress towards achieving goals.

The agency failed to ensure the clinical record contained visit notes for 3 of 5 (MR#s 2, 5, and 7) active records reviewed, resulting in a lack of information for the physician and all agency staff caring for these patients.

The agency failed to ensure a transfer summary was sent to the receiving health care facility within 2 business of becoming aware of the transfer for 1 of 2 (MR# 7) records reviewed with transfers to other health care facilities, resulting in a lack of information to ensure continuity of care for…

The agency failed to develop a Quality Assessment Performance Improvement program to optimize patient outcomes and to have at least one performance improvement project each year.

The Agency failed to conduct a facility-based and community-based risk assessment resulting in the potential for failure to identify hazards associated with the facility and less than optimal outcomes during an emergency event.

The Agency failed to ensure all 19 staff members employed by this agency, received initial and annual training in the Agency's emergency preparedness program, resulting in staff being ill-prepared in the event of an actual disaster or emergency.

The agency failed to provide speech therapy services as ordered by the physician for 1 of 1 (MR#2) record reviewed in which speech therapy services were ordered, resulting in the potential for poor speech and language outcomes for this patient.

The agency failed to ensure their Quality Assessment and Performance Improvement program was at least capable of showing measurable improvements in indicators to enhance patient outcomes, safety and quality of care in 2018, resulting in the potential for poor patient outcomes for the agency's 71…

The agency failed to develop a performance improvement project in 2018, resulting in the agency's inability to improve patient outcomes, safety, and quality of care for the agency's 71 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 program, resulting in the potential spread of infections…

The Agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects and duplicate drug therapy in 4 records (MR's #5, 6, 3 and 2), from a total of 7 sampled records reviewed, resulting in the potential for harmful medication effects for all…