Best & Dependable Home Health Care

The agency staff failed to follow physicians orders and failed to notify the physician of missed visits for two (2) of seven (7) clinical records in the survey samples (clinical record #2 and 5).

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for one (1) of three (3) patients observed during home visits (patient #6).

The agency failed to ensure that patients were informed about and consented to the frequency of proposed visits in advance of care being provided in seven (7) of seven (7) clinical records reviewed in the survey sample (clinical record #'s 1-7).

The agency failed to ensure the agency developed individualized emergency preparedness plan as part of the comprehensive assessment for six (6) of six (6) medical records of patients admitted on/after or recertified by 11/15/2017. (Medical records #1-6) Findings: The medical record of Patient #1…

The agency failed to develop a training program related to emergency preparedness that included the following: (i) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with…

The agency failed to document conducting emergency preparedness exercises to test their emergency plan at least annually which consisted of: 1. Participated in a full-scale exercise that was community-based or when a community-based exercise was not accessible, an individual, agency-based.

The agency failed to have written patient care instructions for a home health aide (HHA) prepared by their professional staff for one (1) of two (2) patients in the survey sample (Patent #2).

The agency failed to have written evidence of furnishing the patient's rights in a language and manner the individual understands during the initial evaluation visit in advance of care in order to protect and promote the exercise of these rights for one (1) of seven (7) patients in the survey…

The agency failed to have written evidence of furnishing the Patient's Rights and Responsibilities and the agencies transfer and discharge policies since the Start of Care (SOC) for one (1) of seven (7) patients in the survey sample (Patent #1).

The agency failed to have written evidence of providing contact information for the agency administrator, including the administrator's name, business address, and business phone number in order to receive complaints for four (4) of seven (7) patients in the survey sample (Patents #1, 2 4 & 5).

The agency failed to have written evidence of furnishing the OASIS privacy notice to one (1) of seven (7) patients in the survey sample (Patent #1).

The agency failed to have written evidence of furnishing the Patient's Rights information to one (1) of seven (7) patients in the survey sample (Patent #1).

The agency failed to maintain documentation of the agency informing patients in writing within four business days of the initial evaluation visit of the agency's transfer policy for six (6) of six (6) medical records reviewed in the survey sample admitted/recertified on or after 01/13/2018.…

The agency's professional staff failed to include visit frequencies on the 'CONSENT FOR TREATMENT' form for three (3) of seven (7) patients in the survey sample (Patent #2-#4).

The agency failed to have written evidence of advising patients on the extent of payment by Medicare, Medicaid, or any other federally-funded or federal aid program known to the agency for services that may be expected or may not be covered for one (1) of seven (7) patients whose medical record was…

The agency failed to have written evidence of the services to be furnished and covered for one (1) of seven (7) patients in the survey sample (Patent #1).

The agency failed to have written evidence of providing the State toll free home health hotline for one (1) of seven (7) patients in the survey sample (Patent #1).

Six (6) of six (6) patient admissions/recertifications completed on or after 01/13/18 failed to contain documentation of the agency informing patients in writing of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the areas where the…

The agency failed to document measurable outcomes/goals identified by the home health agency staff, the patient's risk factors for emergency department visits and hospital re-admissions according to the plans of care for six (6) of six (6) medical records reviewed in the survey sample…

The agency's professional staff failed to follow the Physician ordered Plan of Care (POC) for three (3) of seven (7) patients in the survey sample (Patent #1 #2 & #5).

The agency failed to document the patient's progress toward outcomes and goals specified in the plans of care for six (6) of six (6) medical records reviewed in the survey sample and admitted/recertified on or after 01/13/2018 (Medical records: #1-6).

The agency's professional staff failed to follow the Physician ordered Plan of Care (POC) or report changes in the POC to the Physician for two (2) of seven (7) patients whose records were reviewed in the survey sample (Patent #1 & #2).

The agency's staff failed to communicate the patient's discharge to all physicians issuing orders for the plan of care and the patient's primary care practitioner who will be responsible for providing care and services to the patient after discharge for one (1) of two (2) closed medical records…

The agency failed to provide supervision of the agency's COTA (Certified Occupational Therapy Assistant) and the LPTA (Licensed Physical Therapy Assistant) for one (1) of two (2) patients who received those services and were in the survey sample (Patent #3).

The agency failed to provide supervision of aide services for one (1) of two (2) patients who received aide services and were in the survey sample (Patent #4).

The agency failed to send a Transfer Summary for one (1) of one (1) patient's who were transferred and in the survey sample (Patent #1).