Capital Home Health Care Inc

Specifically, the agency failed to develop and maintain an emergency preparedness plan that included strategies for addressing emergency events, assessment of the patient population to identify persons at-risk, the type of services the agency has the ability to provide in an emergency; and…

The Condition of Participation was found to be out of compliance; Based on interview and record review the agency failed to electronically report all OASIS data collected in accordance with §484.55 - Condition of Participation, Comprehensive Assessment of Patients - each patient must receive and an…

G 572 - Based on interview and record review, the agency failed to ensure each patient had an established plan of care which identified patient-specific measurable outcomes and goals for 1 of 1 patient records reviewed who received insulin administration by a skilled nurse (SN) of the agency…

The home health agency failed to develop, implement, evaluate, and maintain an effective, ongoing, HHA-wide, data-driven quality assessment and performance improvement (QAPI) plan.

G 948 - Based on interview, record review, and observation, the administrator failed to be responsible for all day-to-day operations of the home health agency (HHA).

The agency failed to ensure each patient had an established plan of care which identified patient-specific measurable outcomes and goals for 1 of 1 patient records reviewed who received insulin administration by a skilled nurse (SN) of the agency (Patient #3).

The agency failed to ensure patient-specific written care instructions for the certified nurse aides (CNA) were prepared by a registered nurse (RN) for 1 of 9 patient records reviewed who received CNA services (Patient #5).

The agency failed to complete a comprehensive assessment for physical therapy, occupational therapy, and speech therapy in a timely manner consistent with the patient’s immediate needs for 1 of 7 active patients (Focused Patient A).

The home health agency failed to ensure drugs, services, and treatments were administered only as ordered by a physician or allowed practitioner for 8 of 8 active patient records reviewed (Patients #1, #2, #3, #4, #5, Focused Patients A, B, and C).

The agency failed to ensure each patient's plan of care was reviewed by the physician at least every 60 days.

The agency failed to ensure a registered nurse made onsite supervisory visits to the home no less frequently than every 14 days for 1 of 5 active patients (Focused Patient A).

The agency failed to complete supervisory visits every 60 days for 1 of 1 patients who received only certified nurse aide (CNA) services (Patient #5).

The administrator failed to be responsible for all day-to-day operations of the home health agency (HHA).

The administrator/director of nursing (DON) failed to coordinate patient care between the agency and physicians office by failing to receive updated orders, verbal or written, and failed to ensure plans of care were reviewed and revised by physicians for 5 of 5 active patient records reviewed…

The Administrator/Director of Nursing (DON) failed to provide oversight of all patient care services in accordance with requirements set forth in regulation.

The agency failed to ensure nursing staff complied with professional standards and principles pertaining to providing care for patients without current physician orders for 5 of 5 current patients (Patient #1, #2, #3, #4 and #5) and 3 of 3 focused sample records reviewed (Focus Sample, A, B and C).

The agency failed to ensure a discharge summary was sent to the primary care practitioner within five days of the patient's discharge for 1 of 2 discharged records reviewed (Patient #7).