Asap Home Health Service

The Home Health Agency (HHA) failed to review and update their emergency preparedness plan at least every two years for seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7).

The Home Health Agency (HHA) failed to ensure two of seven sample patients' (Patient 1 and Patient 4) plans of care (an individualized care planned) were updated to reflect their current medications.

The Registered Nurse Supervisor (RN1) failed to change gloves while providing care to two of seven sample patients (Patient 1 and Patient 2).

The Home Health Agency (HHA) failed to ensure competency evaluation must be performed by a registered nurse in consultation with other skilled professionals providing services for two of the seven (Patient 4 and Patient 5) sampled patients care staff, prior to working independently.

The Home Health Agency (HHA) failed to ensure two of seven sample patients (Patient 1 and Patient 2) provided Certified Home Health Aide (CHHA) services completed the 12 hours in services every 12 months as required.

The HHA failed to ensure four of seven sampled patients (Patient 1, Patient 2, Patient 3, and Patient 4) entries in the clinical records must be signed by the primary author who reviewed and approved the entries.

The Home Health Agency (HHA) failed to ensure patients' clinical records are protected/safeguarded against unauthorized use for seven of seven sampled patients (Patient 1, Patient 2, Patient 3, and Patient 4, Patient 5, Patient 6, and Patient 7) by failing to: -Ensure Certified Home Health Aides…

The Home Health Agency (HHA) failed to ensure seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7) received information regarding the State toll free home health telephone hotline, its contact information, its hours of operation, and its…

The Home Health Agency (HHA) failed to ensure seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7) received information on Federal and State funded entities available in the areas they reside in.

The Home Health Agency (HHA) failed to review and document all the current medications and treatments for two of seven sampled patients (Patient 2 and Patient 4) were currently using.

The Home Health Agency (HHA) failed to ensure a Registered Nurse updated the comprehensive assessment for the recertification period for five of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, and Patient 5).

The Home Health Agency (HHA) failed to ensure two of seven sample patients (Patient 1 and Patient 2) received treatments and/or services in accordance with their written plans of care by not monitoring Patient 1‘s weight and not reassessing Patients 2's blood pressure (BP).

The registered nurse failed to perform supervisory visits for License Vocational Nurse (LVN) services for one of seven sampled patients (Patient 4) provided LVN services.

The Home Health agency (HHA) agency failed to meet the Condition of Participation regarding Establishment of The Emergency Program as follows: 1. The HHA failed to develop and maintain an emergency preparedness plan that is reviewed and updated at least every two years.

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to ensure the initial comprehensive assessments were completed, for six of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 6…

The agency failed to meet the Condition of Participation for Care Planning, Coordination Of Services, and Quality Of Care as follows: 1. The Home Health Agency (HHA) failed to follow the Plan of Care that were individually developed for four of seven sampled patients (Patient 1, Patient 4, Patient…

The Home Health Agency (HHA) failed to meet the Condition of Participation for Skilled Professional Services as follows: 1. The HHA failed to evaluate the plan of care for one of seven sampled patients (Patient 2) in coordination with Patient 2's current health status and caregiver.

The Home Health Agency (HHA) failed to meet the Condition of Participation for Home Health Aide Services as follows: 1. The HHA failed to ensure a qualified certified home health aide (CHHA) was providing services for one of seven sampled patients (Patient 1).

The Home Health Agency (HHA) failed to meet the Condition of Participation for Compliance with Federal, State, and Local Law as follows: 1. The HHA failed to ensure the staff providing services to the patients were licensed, certified, or registered in accordance with state licensing authority as…

The Home Health Agency (HHA) failed to meet the Condition of Participation for Clinical records by failing, for two of seven sampled patients (Patient 1 and Patient 3), to ensure comprehensive assessment in the records reflected the patients' health status.

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness plan that is reviewed and updated at least every two years.

The Home Health Agency (HHA) failed to develop and maintain a training program for the agency staff to ensure each employee is able to perform their duties in the event of an emergency or disaster.

The Home Health Agency (HHA) failed to conduct testing activities for the agency's Emergency Preparedness Program to ensure the agency staff aware of their duties in the event of an emergency or disaster.

The Home Health Agency (HHA) failed to ensure the initial comprehensive assessments were completed, for six of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 6, and Patient 7) and one unsampled patient (Patient 8).This deficient practice resulted in Patient 1 admitted…

The Home Health agency (HHA) failed to conduct a comprehensive assessment, for one of seven sampled patients (Patient 1), when Patient 1 was admitted to the HHA and discharged from the general acute care hospital (GACH).

The Home Health Agency (HHA) failed to follow the Plan of Care that were individually developed for four of seven sampled patients (Patient 1, Patient 4, Patient 6 and Patient 7) and one unsampled patient (Patient 8).

The Home Health Agency (HHA) failed to ensure the quality assessment and performance improvement (QAPI) program included measurable data for improvement.

The Home Health Agency (HHA) failed to ensure infection control practices were implemented, for one of seven sampled patients (Patient 2), when medical equipment were not disinfected (process of cleaning with the use of a chemical to kill germs).

The home health agency failed to ensure a Registered Nurse (RN) provided written patient care instruction to the certified home health aide (CHHA) for three of seven sampled patients (Patient 1, Patient 2 and Patient 3) and one unsampled patient (Patient 8).

The Home Health agency (HHA) failed to ensure the staff providing services to the patients were licensed, certified, or registered in accordance with state licensing authority as meeting those requirements for four of nine sampled staff members (RN 3, RN 5, LVN 3 and PHY 1) and for two of seven…

The home health agency (HHA) failed to review and update the "Medication Profile" (the information about the medicines a person is using and has used) for one of seven sampled patient (Patient 4).

The home health agency (HHA) failed to ensure medications were administered according to physician's order for one of seven sampled patients (Patient 2).

The home health agency (HHA) failed, for one of seven sampled patients (Patient 4), to ensure the Plan of Care was revised to reflect Patient 4's current nutritional status.

The Home Health agency (HHA) failed to coordinate care and services to meet nutritional needs, for one of seven sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure the nursing staff teach the caregiver of the intramuscular injection (IM - the injection of a substance into a muscle), for one of seven sampled patients (Patient 3).

The agency failed to evaluate the plan of care for one of seven sampled patients (Patient 2) in coordination with Patient 2's current health status and caregiver.

The home health agency (HHA) failed to follow the plan of care for two of seven sampled patients (Patient 1 and Patient 2) when: 1. Patient 1's fluid intake and urine output was not monitored as the physician ordered.

The Home Health agency (HHA) failed to ensure the nursing services were provided under the supervision of a registered nurse (RN) for three of seven sampled patients (Patient 1, Patient 3 and Patient 4) and one unsampled patient (Patient 8) by failing to: 1. Clarify the order for frequency of…

The home health agency (HHA) failed to ensure a qualified certified home health aide (CHHA) was providing services for one of seven sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure Registered Nurse (RN) supervisory onsite visit to certificed home health aides (CHHA) was conducted every 14 days for two of seven sampled patients (Patient 2 and Patient 3).

The Home Health agency (HHA) failed to ensure that the Administrator Designee met the required qualifications.

The Home Health Agency (HHA) failed, for two of seven sampled patients (Patient 1 and Patient 3), to ensure comprehensive assessment in the records reflected the patients' health status.

The agency failed to ensure all currently used medications were reviewed for three of eight sampled patients with home visits (Patient 1, Patient 3, Patient 4) when: 1. Patient 1 had Levetiracetam (medication to treat seizures) with a different dosage from the medication profile, and Tylenol…