Aw Health Care

The provider failed to ensure a complete and accurate review of all medications were completed in one of three home visit observations (Record/Patient #2).

The agency failed to assure that the patients be advised, orally and in writing, of the extent to which payment for HHA services may be expected.

The agency failed to ensure an accurate medication review and/or update of the patient's medications was completed in two (Records/Patients #2 and #3) of five records reviewed.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements for two (Records/Patients #2, and #4) of five full records reviewed.

The agency failed to ensure each patient received written information related to visit schedule/instructions in one (Record/Patient #3) of three home visits made.

The agency failed to provide services that were ordered by the physician as indicated in the plan of care in one (Record/Patient #2) of five full records reviewed.

The agency failed to assure that skilled professional services clinical notes contained documentation according to agency policy in one (Record/Patient #4) of five full records reviewed.

The agency failed to assure that the contract for therapy services contained the statement that the agency, organization, or individual providing services under arrangement may not have been: (i) Denied Medicare or Medicaid enrollment, (ii) Been excluded or terminated from any federal health care…

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care the following…

The agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) within 30 days of completing the assessment.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right that if a patient has not been adjudged to lack legal capacity to make health care…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed that information must be provided to patients in a language and in a…

The agency failed to follow accepted standards of practice to prevent the transmission of infection in one (Record/Patient #2) of three home visits observed.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include rights and responsibilities accessible to individuals with disabilities.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed about their right to have a copy of the patient's rights and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to written information regarding the patient's right to be informed about being free from verbal, mental, sexual, and physical abuse, including…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to participate in, be informed about, and consent or refuse care, with respect to…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed about receiving all services outlined in the plan of care.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be advised of financial liability changes as soon as possible, in advance of the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be advised in advance of a specific service being furnished if the services may be…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be advised of the state hotline days and hours.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to access auxiliary aids and language services and how to access these services.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right that the patient and representative (if any) have a right to be informed of the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient and representative (if any) have a right to be informed of the agency's policies for transfer…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding that the patient and representative (if any) have a right to be informed of the agency's policies for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient rights when the agency determines that the patient's or other persons in the home, behavior is…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient rights that the agency must advise the patient or representative, physicians, and healthcare…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding that the agency must make efforts to resolve the problem, if the patient is being considered for discharge…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed about the agency's policy to provide the patient or representative with…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed that if the patient is considered for discharge for cause, the agency…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding that the patient and representative (if any) have a right to be informed of the agency's policies for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding that the patient and representative (if any) have a right to be informed of the agency's policies for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding that the patient had a right to be informed that the agency must investigate complaints made by the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed that the agency must investigate mistreatment, neglect, or verbal…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed that the agency must document both the existence of the complaint and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed that the agency must take action to prevent further potential…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include written information regarding the patient's right to be informed about any agency staff in the normal course of providing services to…

The agency failed to ensure: - A complete review of all medications the patient was currently taking that included significant drug interactions, ineffective drug therapy, significant side effects, duplicate drug therapy, and noncompliance with drug therapy in three (Record/Patients #1, #2, and #3)…

The agency failed to provide written information to the patient regarding each discipline's visit schedule in two (Record/Patients #1 and #3) out of three home visits made.

The agency failed to provide written information to the patient regarding treatments administered by the home health personnel in two (Record/Patients #2 and #3) out of three home visits made.

The agency failed to provide services that are ordered by the physician as indicated in the plan of care in three (Record/Patients #1, #3, and #4) out of six records reviewed.

The agency failed to send a completed discharge summary to the physcian within five business days of the patient's discharge from services in one (Record/Patient #6) of one closed record reviewed.

The agency failed to ensure timely and accurate initial and comprehensive assessments were completed for each patient.

The agency failed to ensure that, in the absence of a physician ordered start of care date, the initial assessment visit occurred within 48 hours of referral in three (Record/Patient: #1, #2, and #3) of seven cases.

The agency failed to ensure the registered nurse (RN) completed the comprehensive assessment no later than five (5) days after the start of care for two patients (Record/Patient #2 and #5) out of seven records.

The agency failed to ensure updates to the comprehensive assessment were completed during the last 5 days of every 60 days beginning with the start of care date in one of seven cases (Record/Patient #7).

The agency failed to ensure an accurate and complete plan of care was developed in, but not limited to, two (Records/Patient #2 and #5) of five records reviewed for this standard.

The agency failed to provide conformance with the physician orders when the orders failed to show the correct visit frequency, ordered treatments, and complete orders on the plan of care and physician orders in, but not limited to, two (Record/Patients #2, and #3) of five records reviewed.

The agency failed to document they notified the physician of a change in patient condition in one (Record/Patient #2) of five records reviewed.