Assured Home Healthcare Inc

The home health agency failed to ensure they reviewed and/or updated their emergency preparedness plan at least every 2 years in 1 of 1 agency.

The agency failed to evidence their policies and procedures were reviewed and updated at least every 2 years.

The agency failed to evidence their emergency preparedness plan included a training and testing program / plan in 1 of 1 agency.

The agency failed to ensure a transfer summary and other pertinent information was sent to the receiving health care facility in 1 of 2 discharged records reviewed with a transfer for emergent services [Patient #1]. The clinical record for Patient #1, included a communication note dated 10/10/24…

The agency failed to ensure clinical record entries were appropriately authenticated in 1 of 1 active clinical record reviewed with an indwelling urinary catheter (Patient #4).

The agency failed to ensure the clinical records were safeguarded against loss or unauthorized use in 1 of 1 agency.

The agency failed to evidence the patients’ legal representative’s signature confirming that they received a copy of patient rights and responsibilities in 2 of 3 active clinical records reviewed with a home visit (Patients #2 and #3).

The agency failed to ensure complaints and resolutions were documented in 1 of 1 agency.

The agency failed to ensure an initial assessment was conducted within 48 hours of referral in 3 of 5 active records reviewed (Patients #3, 6, and 7) Findings include: 1 .The agency policy titled “Admission Criteria and Process,” revised 5/2010, indicated the Clinical Supervisor will assign…

The agency failed to ensure the comprehensive assessment that accurately reflects the patient’s status including a review of all medications in 1 of 3 active clinical record reviewed with a home visit (Patient #6).

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s primary caregivers and available supports including their willingness and ability to provide care in 2 of 5 active clinical records reviewed (Patients #2, 7).

The agency failed to update the comprehensive assessment with a significant change in condition in 1 of 2 active clinical records reviewed with a wound (Patient #4).

The agency failed to ensure the plan of care included all treatments, services, and medications in 5 of 5 active clinical records reviewed (Patients #2, 3, 4, 6, and 7).

The agency failed to ensure that drugs, services, and treatments are administered only as ordered by a physician in 1 of 2 active clinical records reviewed without a home visit (Patient #7).

The agency failed to ensure services were integrated, whether provided directly or under arrangement, to ensure identification of patient needs in three of 5 active clinical records reviewed (Patients #3, 4, 6).

The agency failed to ensure the supervisory assessment of a home health aide (HHA) was completed no less frequently than every 14 days in 1 of 1 active clinical record reviewed with a gastronomy tube (Patient #4).

The agency failed to ensure the HHA supervisory assessment was completed onsite or on the rare occasion by using two way audio video telecommunications in 1 of 2 active patient records reviewed with a home visit and home health aide services (Patient #6).

The administrator failed to evidence they were responsible for the day to day operations of their agency.

The agency failed to evidence a pre-designated person was authorized in writing to fulfill the role of the alternate administrator, in the event the administrator was unable to fulfill the role, for 1 of 1 agency.

The agency failed to ensure Standard Precautions were followed by every employee during 1 of 1 observed home health aide visits (#2) The findings include: Record review on 11/23/2021, evidenced an agency policy titled, “STANDARD PRECAUTIONS”, revised September 2018, which stated, “PURPOSE To follow…

The home health agency failed to ensure all entries in the clinical record were complete and appropriately authenticated in 2 of 3 active patient records reviewed with urinary catheters (#1, #5).

The agency failed to meet the patient's needs in 1 of 2 home visits observed of patients not receiving home health aide services (#1).

The agency failed to ensure the individualized plan of care included all services, safety measures, medications and treatments in 2 of 2 active patient records reviewed receiving wound care services (#3, #4).

The agency failed to ensure all patient care orders were included in the plan of care in 2 of 2 records reviewed receiving intravenous medication therapy (#4, #5).

The agency failed to ensure patients were provided a written schedule of visits in 3 of 3 home visits conducted (#1, #2, #3) The findings include: 1. Record review on 11/23/2021, evidenced an agency policy titled, "HOME HEALTH PATIENT BILL OF RIGHTS", revised May 2010, which stated, " ... POLICY…

The agency failed to implement performance improvement plans and track performance to ensure improvements were sustained.

The skilled nurse failed to communicate with the physician involved in the plan of care in 2 of 2 records reviewed receiving intravenous medication therapy (#4, #5).

The home health aide failed to provide services as indicated in the aide care plan in 2 of 2 records reviewed receiving home health aide services (#2, #7).

The agency failed to ensure the patient's clinical record evidenced all interventions and responses to those interventions in 2 of 4 patient records reviewed receiving physical or occupational therapy (#1, #7).

The agency failed to conduct an annual evaluation with updates for the emergency preparedness program for 1 of 1 agency.

The agency failed to ensure policies and procedures were in place in relation to the use of volunteers regarding documentation for orientation, skills/ training, documentation requirements, and duties which could be delegated, in the event the agency recruited volunteers for service during an…

The agency failed to implement its policy in relation to hand hygiene/infection prevention, for a registered nurse, employee B, who failed to implement hand hygiene after changing examination gloves, and prior to donning another pair of gloves, as per CDC guidelines, during the changing of wound…

The administrator of the agency failed to notify the Indiana State Department of Health of a change in ownership in the agency which had occurred as of 5-16-19, for 1 of 1 change in ownership transaction.