Associated Homecare Inc

The home health agency failed to ensure their patient's were treated with dignity (see G428), failed to ensure their patient remained free from verbal and psychological abuse (see G430), failed to ensure all complaints were documented, investigated and resolved (see G432), failed to ensure they…

The home health agency failed to ensure: all patients received all services outlined in the plan of care (See tag G0572), failed to ensure the medical plan of care included all services to be provided, all medications and treatments, and individualized patient care goals (See tag G0574), failed to…

The Registered Nurse failed to ensure: the patient's plan of care was developed in partnership with the patient caregiver (see tag G0708), services were provided as ordered by the physician on the plan of care (see tag G0710), the skilled nurse provided the patient/patient caregiver with education…

The home health agency failed to ensure they were aware of contracted home health aides competency training prior to assigning them to provide care to agency patients (see tag G0768), failed to ensure all home health aides had a written patient care instructions established by a registered nurse…

The home health agency failed to ensure the administrator was responsible for al the day-to-day operations of the home health agency (see tag G0948), failed to ensure that the home health aides were assigned to agency clients by the clinical manager from Associated Homecare (see tag G0960), failed…

The home health agency failed to ensure all patients received all services outlined in the plan of care in 5 of 5 clinical records review.

The home health aide failed to practice proper infection control in 1 out of 2 home visits observed.

The home health agency failed to have all patients with infections listed in their infection control log in 1 of 5 clinical records reviewed.

The home health agency failed to ensure they were aware of the contracted home health aides competency training prior to assigning them to provide care to Associated patients.

The home health agency failed to ensure all home health aides had a written patient care instructions established by a registered nurse in 4 of 5 clinical records reviewed.

The home health agency failed to ensure all entries in the clinical record were legible, clear, complete, and appropriately authenticated and dated in 2 of 5 clinical records reviewed.

The home health agency failed to ensure a patient was treated with dignity in 1 of 2 home health visits.

The home health agency failed to ensure the patient was free from verbal and psychological abuse in 1 of 2 home health visits.

The home health agency failed to ensure all complaints were documented, investigated, and resolved in 1 of 1 home health agency.

The home health agency failed to keep patients/ patient caregivers informed about the care to be furnished and/ or of any changes in the care to be furnished in 2 of 5 clinical records reviewed.

The home health agency failed to ensure all patients received all services outlined in the plan of care in 5 of 5 clinical records review.

The home health agency failed to ensure all patients were aware of the charges they may have to pay after insurance coverage in 1 of 5 clinical records reviewed.

The home health agency failed to ensure all patient/ patient caregivers were aware of how to contact the toll free home health telephone hotline in 1 of 3 patient/patient caregivers interviewed.

The home health agency failed to ensure it provided patients with a reasonable discharge notice for 2 of 5 clinical records reviewed.

The home health agency failed to ensure they attempted interventions to resolve a problem prior to discharging a patient from the home health agency without any notification in 1 of 5 clinical records reviewed.

The home health agency failed to provide sufficient notice to patients prior to the cessation of the home health agency to enable the patient to select an alternative service provider in 1 of 3 patient's interviewed.

The home health agency failed to investigate complaints made by a patient in 1 of 1 home health agency.

The home health agency failed to investigate a complaint of care that failed to be furnished in 1 of 5 clinical records reviewed.

The home health agency failed to ensure an investigation into an allegation of neglect and verbal abuse in 1 of 5 clinical records reviewed.

The home health agency failed to ensure they documented all complaints in their complaint log in 1 of 1 home health agency.

The home health agency failed to ensure the patient's had measurable goals in 3 of 5 clinical records reviewed.

The home health agency failed to ensure a patient's current medications were incorporated into the patient's medical record in 1 of 5 clinical records reviewed.

The home health agency failed to ensure the medical plan of care included all services to be provided, all medications and treatments, and individualized patient care goals in 4 of 5 clinical records reviewed.

The home health agency failed to ensure drugs, treatments, and services were provided only as ordered by a physician in 3 of 5 clinical records reviewed.

The home health agency failed to ensure the skilled nurse documented, signed and dated the verbal orders and had them authenticated and dated by the physician making the verbal orders in 1 of 5 clinical records reviewed.

The home health agency failed to ensure the plan of care was reviewed and revised by the primary physician in 1 of 5 clinical records reviewed.

The home health agency failed to ensure a reasonable discharge notice was provided to patients for 2 of 5 clinical records reviewed.

Associated Homecare failed to ensure their home health aides were assigned to patients and their schedules managed by a Registered Nurse within their own agency for 1 of 1 home health agency.

The home health agency failed to ensure staff coordinated care with all healthcare entities that provided care to the patient in 1 of 5 clinical records reviewed.

The home health agency failed to keep patients/ patient caregivers informed about the care to be furnished and/or of any changes in the care to be furnished in 2 of 5 clinical records reviewed.

The home health agency failed to ensure a patient's caregiver was provided with pertinent information of services the home health agency/ home health aide was to provide for 1 of 3 patient's/ patient caregivers interviewed.

The skilled nurse failed to regularly evaluate the patient's nursing needs in 2 of 5 clinical records reviewed.

The Registered Nurse failed to ensure the patient plan of care was developed in partnership with the patient caregiver in 1 of 3 patients/patient caregivers interviewed.

The Registered Nurse failed to ensure all patients received all services outlined in the plan of care in 5 of 5 clinical records review.

The Registered Nurse failed to ensure patient/ patient's caregiver was provided with education per plan of care for 2 of 5 clinical records reviewed.

The Registered Nurse failed to ensure there was evidence of communication with a physician to ensure that a patient had a primary physician to oversee the care and approve all healthcare services and treatments the agency was to provide for 1 of 5 clinical records reviewed.

The Registered Nurse (RN) failed to ensure supervisory visits were conducted to evaluate the licensed practical nurses services in 2 of 2 clinical records reviewed receiving LPN services.

The Home Health Aide failed to follow the plan of care for 4 out of 5 records reviewed and failed to follow the home health aide written care plan instructions for 1 out of 1 records reviewed that contained a home health aide written care plan in a sample of 5. (#1) Findings include: 1. Clinical…

The home health aide failed to report changes observed in the patient's conditions and needs to the supervising nurse in 1 of 5 clinical records reviewed.

The home health agency failed to ensure a skilled nurse performed supervisory visit every 14 days for a patient that receive skilled nursing services in 4 of 5 clinical records reviewed.

The home health agency failed to ensure the home health aides followed the plan of care, complied with infection prevention and control policies and procedures, and honored patient rights in 5 of 5 clinical charts reviewed.

The home health agency failed to ensure the overall quality of care provided by contracted aides in 2 of 5 clinical records reviewed.

The home health agency failed to ensure contracted home health aide services were supervised by a skilled nurse in 1 of 1 home health agency.

The administrator failed to ensure he/she was responsible for all day to day operations of the home health agency in 1 of 1 home health agency.

The home health agency failed to ensure the home health aides were assigned to agency clients by the clinical manager in 1 of 1 agency.

The clinical manager failed to ensure the plan of care was updated to include all patient medications and treatments in 1 of 5 clinical records reviewed.

The home health agency failed to ensure all administrative and supervisory control occurred within the primary home health agency in 1 of 1 home health agency.

The home health agency failed to ensure all administrative and supervisory control occurred within the primary home health agency in 1 of 1 home health agency.

The home health agency failed to ensure individualized goals were incorporated into the patient's plan of care in 3 of 5 clinical records reviewed.