Cabrini of Westchester
Inspection 2020-09-18
· Recertification · 9 deficiencies · CMS source report (PDF)The agency failed to ensure that services are provided in accordance with the Plans of Care (POC).
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The Home Health Agency failed to provide job specific infection prevention education and training to all healthcare personnel for all of their respective tasks, at periodic intervals minimally annually consistent with accepted standards of practice, such as orientation and annually.
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The agency failed to ensure that patients are advised of services to be provided and the frequency of services prior to the case is initiated.
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The agency failed to ensure that comprehensive assessments include complete assessments of patients' medication regimens.
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The agency failed to develop/revise complete and comprehensive Plans of Care.
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The agency failed to ensure ongoing communication was maintained with each patient's Physician.
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The agency failed to ensure that all Aides have completed an approved NYS Home Health Aide training program.
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The agency failed to ensure that all Home Health Aides (hha) and Personal Care Aides (PCA) receive the required number of in-service hours in accordance with certification requirements.
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The agency failed to ensure that all employees providing home health care is a qualified home health aide . This was evident in one (1) of two (2) home health aide records reviewed.
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