Atlas Homecare of Southern Utah

The home health agency (HHA) failed to ensure each patient received a complete patient specific comprehensive assessment.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The home health agency (HHA) failed to develop, implement, and maintain an effective, ongoing, hospice-wide data-driven quality assessment and performance improvement (QAPI) program.

The governing body (GB) failed to assume full legal authority and responsibility for the governance and operation of the facility.

The home health aide care plan was not developed by a registered nurse or other appropriate skilled professional for 1 of 5 sampled patients.

Based on interview and record review, it was determined a newly graduated nurse who was unlicensed in the State of Utah, was completing nursing assessments for 2 of 5 sampled patients.

The home health agency (HHA) could not provide evidence that a written notice of the patient's rights and responsibilities were provided to 2 of 5 sampled patients.

The home health agency (HHA) did not ensure a registered nurse (RN) conducted an initial assessment to determine the immediate care and support needs of the patient; and for Medicare patients, to determine eligibility for Medicare home health benefits, including home bound status.

The agency did not ensure that all patient medications had been reviewed for 4 of 5 patients.

The home health agency (HHA) did not ensure each patient's plan of care (POC) contained all the required elements for 5 of 5 sampled patients.

Services and treatment were not administrated only as ordered by a physician for 2 of 5 sampled patients.

The home health agency (HHA) did not complete a discharge summary that was sent to the primary care practitioner within five business days of discharge or within two business days of a transfer occurring, for 2 of 2 sampled discharged patients.