Brio Home Health Services, Inc

The agency failed to ensure essential clinical documents were provided for two of 10 sampled patients (Patient 1 and 2), when Patient 1 and 2’s home clinical record booklet did not contain their current plan of care (POC- a guide that lists their medical and emotional needs, including treatments…

The agency failed to implement an infection control surveillance system (an ongoing, systematic collection and analysis of health data to monitor infectious diseases), when the agency’s infection prevention and control program (a set of practices and policies intended to prevent and reduce the…

The agency failed to ensure medication reconciliation (process to compare current medication order with what home medications patients are taking) was conducted for two of four sampled patients (Patients 1 and 4) when Patient 1 and 4’s Medication Profile (MP) did not accurately reflect the…

The agency failed to ensure an individualized plan of care was reviewed, approved, and signed by a physician within 30 working days of the patients' start of care for two of 10 sampled patients (Patients 5 and 6).

The agency failed to measure and analyze quality indicators (a measurable element of the agency’s practice that can be used to assess the quality of care provided) in order to assess the agency’s processes of care, services, and operations, from January 1, 2022, to December 31, 2022, in a universe…

The agency failed to use quality indicator (a measurable element of the agency’s practice that can be used to assess the quality of care provided) data from OASIS (Outcome and Assessment Information Set) to monitor the quality of the agency’s services.

The agency failed to conduct and document performance improvement projects (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had…

The agency’s Governing Body (GB) failed to provide oversight for its Quality Assessment and Performance Improvement (QAPI) Program from January 1, 2022, to December 31, 2022, in a universe of 53 patients when: 1. The QAPI program failed to measure and analyze quality indicators (a measurable…

The agency failed to ensure the patients' initial assessment was completed within 48 hours of the physician's referral date or on the physician-ordered start of care date for six of 10 sampled patients (Patients 2, 5, 7, 8, 9, and 10).

The agency failed to obtain a physician’s order to discontinue Physical Therapy (PT) and Occupational Therapy (OT) services for one of 10 sampled patients (Patient 5).

The agency failed to ensure the clinical record contained required items for one of 10 sampled patients (Patients 6) when three skilled nursing visit notes were not submitted on the Monday of the following week by 5:00 PM as indicated in the agency's policy and procedure titled, "Timely Submission…

The agency failed to ensure that infection control was implemented for 1 of 3 patients visited (Patient 3) when the Physical Therapy Assistant (PTA 1) failed to place a barrier between the patient's couch and her bag/equipment.

The agency failed to ensure all medications for two of 11 sampled patients (Patients 1 and 3) were properly reconciled as evidenced by : 1. For Patient 1, Vitamin E (supplement) medication was not reflected in current medication profile.

The agency failed to provide needed durable medical equipment (DME) to one (1) of three (3) sampled home visit patients (Patient 2).

The agency failed to ensure that the records were maintained with complete and accurate information for one of 11 sampled patients (Patient 1).