Bright Care Home Health Provider

The agency failed to ensure the Condition of Participation: G 406 §484.50 Patient rights was in compliance when: 1. Based on interview, and record review, the agency failed to ensure the patients received all services outlined in the plan of care for one of four sampled patients (Patient 1) when…

The agency failed to ensure the Condition of Participation: G 940 484.105 Organization and administration of services was in compliance when: 1. Based on interview, and record review, the Governing Body (GB) failed to operate and manage the agency from February 1, 2023, to October 3, 2024, in a…

The agency failed to disclose ownership and management information and did not disclose the following information to the state survey agency at the time of any change in ownership or management, in a universe of 212 patients, when: 1. The agency changed its name on February 13, 2019, and failed to…

The Governing Body (GB) failed to operate and manage the agency from February 1, 2023, to October 3, 2024, in a universe of 212 patients when: 1. The agency failed to ensure the patients received all services outlined in the plan of care for Patient 1 when Patient 1’s urinary catheter (a thin…

The agency failed to ensure the Previous/Director of Patient Care Services provided oversight of all patient care services and personnel, in a universe of 212 patients, when: 1. The Previous/Director of Patient Care Services (P/DPCS) was not available during all operating hours (all hours which the…

The agency failed to ensure the patients received all services outlined in the plan of care for one of four sampled patients (Patient 1) when Patient 1’s urinary catheter (a thin, hollow tube inserted into the bladder through the urethra to drain urine) had come out, Patient 1 was unable to empty…

The agency failed to investigate patient and family complaints for two of four sampled patients (Patient 1 and Patient 4) when: 1. Patient 1 filed a complaint about the agency not responding or sending a nurse out to re-insert a urinary catheter (a thin, hollow tube inserted into the bladder…

The agency failed to document both the existence of patient complaints and the resolution of patient complaints for two of four sampled patients (Patient 1 and Patient 4) when: 1. Patient 1 filed a complaint about the agency not responding or sending a nurse out to re-insert a urinary catheter (a…

The agency failed to take action to prevent further potential violations while the complaint was being investigated for two of four sampled patients (Patient 1 and Patient 4) when: 1. Patient 1 filed a complaint about the agency not responding or sending a nurse out to re-insert a urinary catheter…

The Administrator (Admin) failed to be responsible for the day-to-day operations of the agency, in a universe of 212 patients when: 1. The Admin did not know the Previous Director of Patient Care Services (P/DPCS) was not available during all operating hours.

The Administrator (Admin) failed to ensure the Previous Director of Patient Care Services (P/DPCS) was available during all operating hours (all hours which the Home Health Agency was open and providing care to patients) for one of four sampled patients (Patient 1) when Patient 1’s urinary catheter…

The Administrator (Admin) failed to appoint an Administrator Designee (AD) to act in his absence, in a universe of 212 patients.

The agency failed to ensure the Previous/Director of Patient Care Services (P/DPCS) was making patient and personnel assignments, in a universe of 212 patients, when unlicensed Schedular 1 and Schedular 2 chose, assigned and scheduled each clinical discipline (Registered Nurse (RN), Licensed…

The agency failed to ensure the Previous/Director of Patient Care Services (P/DPCS) was coordinating patient care, in a universe of 212 patients, when Registered Nurses (RN) and Licensed Vocational Nurses (LVN) were reporting patients’ changes in condition and changes to patients’ care plans to…

The agency failed to ensure the Previous/Director of Patient Care Services (P/DPCS) coordinated referrals, in a universe of 212 patients.

The agency failed to ensure the Previous/Director of Patient Care Services (P/DPCS) was assuring that patient needs were continually assessed, in a universe of 212 patients.

The agency failed to ensure Registered Nurses (RN) and Licensed Vocational Nurses (LVN) provided services in accordance with the Standards of Competent Performance, California Code of Regulations, Title 16 Section 1443.5 A, Licensed Vocational Nurse Scope of Practice for the State of California…

The agency failed to ensure that the Condition of Participation: E 001 484.22 Establishment of the Emergency Program (EP) was in compliance as follows: 1. Based on interview and record review, the agency failed to collaborate with local, regional, State, and Federal emergency preparedness officials…

The agency failed to ensure that the Condition of Participation: G 640 484.65 Quality assessment and performance improvement (QAPI) was in compliance as follows: 1. Based on interview and record review, the agency failed to choose quality indicators (a measureable element of the agency's practice…

The home health agency failed to ensure the Condition of Participation G 680 484.70: Infection prevention and control was in compliance.

The agency failed to ensure that the Condition of Participation: G 940 484.105 Organization and administration of services was in compliance as follows: 1. Based on observation, interview, and record review, the agency failed to ensure the Director of Patient Care Services (DPCS) was available…

The agency failed to collaborate with local, regional, State, and Federal emergency preparedness officials to cooperate in the planning efforts to maintain an integrated response during a disaster or emergency in a universe of 12 patients.

The agency failed to develop individual patient emergency preparedness plans based on and included in the patients' comprehensive assessments for six (6) of seven (7) sampled patients (Patients 1, 2, 3, 4, 5, and 7).

The agency failed to implement procedures to inform emergency preparedness officials about patients in need of evacuation and the needs the patients would require during the evacuation process in a universe of 12 patients.

The agency failed to develop a back-up plan in the event of communications (phone service) failure during a disaster or emergency, in a universe of 12 patients.

The agency failed to provide training to all staff, as well as contracted staff, on the emergency preparedness policies and procedures and "Emergency Management Plan," in a universe of 12 patients.

The agency failed to develop policy and procedures on conducting full-scale emergency preparedness exercises that were community based (a full-scale exercise is a multi-agency, multi-jurisdictional, multi-discipline exercise involving functional [for example, joint field office, emergency operation…

The agency failed to choose quality indicators (a measureable element of the agency's practice that can be used to assess the quality of care provided) to measure, track and analyze in order to assess the agency's processes of care, services and operations, in a universe of 12 patients.

The agency failed to collect data from quality indicators (a measureable element of the agency's practice that can be used to assess the quality of care provided) to identify opportunities for improvement, in a universe of 12 patients.

The home health agency failed to ensure the Standard G 646 484.65(c): Program activities, was in compliance as follows: 1. Based on interview and record review, the agency failed to conduct performance improvement activities that focused on high risk, high volume or problem prone areas, in a…

The agency failed to conduct performance improvement projects, in a universe of 12 patients.

The agency's governing body failed to ensure the Performance Improvement Program was implemented and maintained and the program addressed priorities for improved quality of care and patient safety, in a universe of 12 patients.

The agency failed to implement and maintain an infection control program which included surveillance, identification, prevention, control and investigation of infections, in a universe of 12 patients.

The agency failed to be in compliance with laboratory services when: 1. The agency failed to obtain Clinical Laboratory Improvement Amendments (CLIA-establishes quality standards for all laboratory testing to ensure the accuracy, reliability and timeliness of patient test results regardless of…

The home health agency failed to ensure the Standard G 944 484.105(b)(1): Administrator, was in compliance as follows: 1. Based on observation, interview, and record review, the agency failed to ensure the Director of Patient Care Services (DPCS) was available during all operating hours when the…

The home health agency failed to ensure the Standard G 958 484.105(c): Clinical Manager, was in compliance.

The agency failed to conduct performance improvement activities that focused on high risk, high volume or problem prone areas, in a universe of 12 patients.

The agency failed to conduct performance improvement activities that considered incidence, prevalence, and severity of problems in the areas for improvement, in a universe of 12 patients.

The agency failed to ensure the Director of Patient Care Services (DPCS) was available during all operating hours when the agency's answering service did not have the DPCS's name or contact number in a universe of 12 patients.

The agency failed to designate in writing a qualified individual to assume the Administrator's responsibilities in the Administrator's absence in a universe of 12 patients.

The agency failed to ensure the Administrator or Administrator Designee was available during all operating hours when the agency's answering service did not have accurate contact information for the Administrator and did not have contact information for an Administrator Designee in a universe of 12…

The agency failed to ensure the Director of Patient Care Services assessed the need for an indwelling urinary catheter (a flexible plastic tube (a catheter) inserted into the bladder that remains ("dwells") there to provide continuous urinary drainage) for one (1) of seven (7) sampled patients…