California Care Home Health Agency, Inc

This CONDITION is NOT MET as evidenced by: Based on interview and record review, the Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Care Planning, Coordination, Quality of Care was met as follows: 1. The HHA failed to ensure patients receive the services as…

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Quality Assessment and Performance Improvement (QAPI), the coordinated application of two mutually reinforcing aspects of a quality management system, Quality Assurance (QA), and Performance Improvement (PI) were met…

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Clinical Records was met as follows: 1.The Home Health Agency (HHA) failed to ensure pertinent clinical records were included to accurately reflect the care for seven of nine sampled patients (Patient 1, Patient 2…

The Home Health Agency (HHA) failed to ensure patients receive the services as specified in the Plan of Care (POC - an individualized written program for a patient that is developed by health care professionals) for seven of nine sampled patients (Patients 1, Patient 2, Patient 6, Patient 7…

The Home Health Agency (HHA) failed to provide written information regarding the Plan of Care (POC - an individualized written program for a patient that is developed by health care professionals) and Medication Profiles for three of nine patients (Patient 1, Patient 2, and Patient 6).

The Home Health Agency (HHA) failed to include indicators based upon identified adverse patient outcomes for their 2022 and 2023 Quality Assessment and Performance Improvement (QAPI, the coordinated application of two mutually-reinforcing aspects of a quality management system: Quality Assurance…

The coordinated application of two mutually-reinforcing aspects of a quality management system: Quality Assurance (QA) and Performance Improvement (PI) program failed to ensure quality indicators data were derived from Outcome and Assessment Information Set [OASIS, a group of standard data elements…

The Home Health Agency (HHA) failed to ensure Skilled Nursing Visit Notes clearly identified the author of each record for three of nine sampled patients (Patient 1, Patient 2, Patient 6).

The Home Health Agency (HHA) failed to ensure clinical records were created for two of nine sampled discharged patients (Patient 5 and Patient 9).

The Home Health Agency (HHA) failed to ensure patient care records were safeguarded for two of nine sampled patients (Patient 5 and Patient 9).

The Home Health Agency (HHA) failed to ensure three of nine sampled patients (Patient 1, Patient 2, and Patient 6) received all services indicated in the Plan of Care (POC - an individualized written program for a patient that is developed by health care professionals).

The Home Health Agency (HHA) failed to provide and ensure three of nine sampled patients (Patient 1, Patient 2, and Patient 6) had Federal and State funded entity information.

The Home Health Agency (HHA) failed to ensure the comprehensive assessment was completed no later than 5 calendar days from the start of care for three of nine sampled patients (Patient 4, Patient 8, and Patient 9).

The Home Health Agency (HHA) failed to review and document all the medications the patient was currently using for five of nine sampled patients (Patient 1, Patient 2, Patient 6, Patient 7, and Patient 9).

The Home Health Agency (HHA) failed to include information required in the Plan of Care (POC - an individualized written program for a patient that is developed by health care professionals) for one of nine sampled patients (Patient 6).

The Home Health Facility (HHA) failed to ensure physicians' orders were written for four of nine sampled patients (Patient 5, Patient 7, Patient 8, and Patient 9).

The Home Health Agency (HHA) failed to ensure the Plan of Care (POC - an individualized written program for a patient that is developed by health care professionals) was revised for one of nine sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure services under arrangement communicated with other staffs providing care services, the identified concerns and change of patient's condition for one of nine sampled Patients (Patient 1).

The Home Health Agency failed to perform supervisory visits for License Vocational Nurse (LVN) services for two of nine sampled patients (Patient 1 and Patient 6).

The facility failed to ensure six of 13 staff members had updated History and Physical (Administrator (ADM), License Vocational Nurse 1 (LVN1), LVN3, Medical Social Worker (MSW), Certified Home Health Assistant (CHHA), and Office Assistant 1 (OA1), The facility failed to ensure seven of 13 staff…

The Home Health Agency (HHA) failed to ensure pertinent clinical records were included to accurately reflect the care for seven of nine sampled patients (Patient 1, Patient 2, Patient 4, Patient 6, Patient 7, Patient 8, and Patient 9).

The Home Health Agency (HHA) failed to include information required in the medical record to reflect the care for one of nine sampled patients (Patient 6).

The Home Health Agency (HHA) failed to send all necessary medical information to the primary care practitioner within five days of discharge for six of nine sampled patients (Patient 3, Patient 4, Patient 5, Patient 7, Patient 8, and Patient 9).

The home health agency failed to follow the plan of care and ensure standard precautions (changing dirty gloves) were followed during a dressing change for one of 7 patients.