Argus Home Care Inc

The agency failed to maintain and develop an emergency preparedness (EP) testing and training program based on their emergency plan.

Specifically, the agency failed to ensure each patient received home health services in accordance with a written plan of care established, reviewed and authorized by a physician prior to rendering services; to ensure services and treatments were provided in conformance with physician's orders; to…

The agency failed to implement a quality assessment and performance improvement (QAPI) which evaluated all agency services and complied with the requirements and standards set forth in CFR 484.65. The failure created the potential for the agency to overlook trends which affect the quality of…

The Administrator failed to adequately and effectively organize and direct the agency's day-to-day operations.

The agency failed to ensure each patient received home health services in accordance with a written plan of care established and reviewed by a physician.

The agency failed to ensure services and treatments were provided in conformance with physician's orders for 6 of 10 patient records reviewed (Patients #1, #3, #5, #7, #8 and #10).

The agency failed to ensure a Registered Nurse (RN) performed the competency evaluation for 3 of 3 Certified Nurse Aide (CNA) personnel record reviewed (CNAs #5, #6 and #7).

THIS IS A REPEAT DEFICIENCY, PREVIOUSLY CITED ON 3/6/20. Based on observation, interview and record review, the agency failed to ensure all patient medications were reviewed and reconciled to identify new, discontinued, or changed medications as required at the time of recertification for 1 of 2…

The agency failed to ensure each patient's plan of care included all pertinent diagnoses, types of services and treatments for 3 of 10 patients reviewed (Patients #3, #5 and #9).

The agency failed to have evidence of communication with the physician related to discharging patients from services for 2 of 4 patients reviewed who had been discharged from the agency (Patients #6 and #10).

The Administrator failed to adequately and effectively organize and direct the agency's day-to-day operations.

The agency failed to ensure that services furnished under arrangement with an Occupational Therapist (OT) conformed with the requirements stated in CFR 484.105(e)(2).

The agency failed to ensure all patient medications were reviewed and reconciled for discrepancies, noncompliance, ineffective therapy or adverse effects at the time of admission, reassessment and recertification, affecting 3 of 3 patient records reviewed (Patient #1, #2 and #3).

The agency failed to ensure the patient received care in conformance with physician's orders and as indicated in the plan of care for 2 of 3 patients reviewed (Patients #2 and #3).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 3 of 3 patient records reviewed (Patients, #1, #2, and #3).

The agency failed to provide services and treatments only as ordered by the physician for 1of 1 diabetic patients' records reviewed (Patient #1).

The agency failed to ensure certified nurse aides (CNAs) provided services as ordered by the physician and on the plan of care for 1 of 1 patients who required CNA services (Patient #1).