Care Plus Home Health Agency Inc

The facility failed to report all OASIS data collected in accordance with federal regulations.

The agency failed to ensure their Clinical Laboratory Improvement Amendment Certificate (CLIA) was current.

The agency failed to ensure a registered nurse (RN) conducted an initial assessment to determine the immediate care, and support needs forty-eight hours from the initial referral date for 2 of 7 (P1, P6) patients reviewed for appropriate and timely start of care.

The agency failed to ensure medications were set up only as ordered by a physician or allowed practitioner for 1 of 2 patients (P4) observed during a skilled nursing home visit.

The facility failed to develop a process to review and update the emergency preparedness plan on a biannual basis.

The facility failed to develop a comprehensive assessment of the patients served by Care Plus Home Health Agency (HHA) to include at-risk populations.

The agency failed to develop a policy for medical documentation for emergency preparedness response.

The facility failed to include volunteer and staffing guidelines with the Emergency Preparedness plan for the agency.

The facility failed to provide contact information for the local emergency officials within the facility plans for emergency preparedness plans.

The documentation identified the last exercise was completed on 4/26/2019. The policy lacked the required elements for testing identified as follows: Testing.

The agency failed to develop a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases.

The agency failed to develop and implement policies and procedures to ensure all staff are fully vaccinated for COVID-19. This had the potential to affect all patients cared for by the agency.

The agency failed to maintain current certification for the Clinical Laboratory Improvement Amendments (CLIA) waiver, which is required for agencies performing blood testing.

The agency failed to thoroughly investigate a complaint voiced by 1 of 1 patient (P3) who had voiced a complaint of improper medication set up.

The agency failed to ensure each patient had an initial assessment within 48 hours of their referral date for 3 of 7 patients (P1, P3 and P7) reviewed who received nursing services.

The agency failed to ensure medication regimen reviews were completed to ensure medications identified on the plan of care (POC) were available and set up as ordered by physician for 2 of 3 patients (P3 and P4) seen with in home visits.

The agency failed to revise and update patient medication profile on the plan of care to accurately reflect medication changes in the past certification period for two of three patients (P3, P4) observed with home visits and medication review.

The agency failed to follow physician orders for pressure ulcer wound treatments for 1 of 7 patients (P7), reviewed in the sample.

The agency failed to promptly alert relevant physician of a change in medication doses for 1 of 3 patients (P4) observed during a home visit with medication review and for 1 of 3 patients (P6) when the agency failed to ensure a physician was notified when ordered glucometer was available to monitor…

The agency failed to integrate provider orders from the hospital discharge summary to the plan of care to ensure coordination of services to include access to a glucometer and tracking of blood sugars for 1 of 1 patient (P6) reviewed for hospitalizations.

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals, to address surge needs…

The agency failed to implement appropriate infection control practices related to COVID-19 by failing to provide appropriate personal protective equipment (PPE) to their field staff when providing care to patients based on the current Federal and/or State government guidelines related to COVID-19.…

The agency failed to ensure the physician was notified of missed home health aide (HHA) visits for 1 of 5 patients (P5) reviewed during a home visit.

The agency failed to ensure the plan of care (POC) included accurate medications for 1 of 5 patients (P3) reviewed during home visits.

The agency failed to ensure supervisory visits of a home health aide (HHA) was completed every 14 days as required for 1 of 5 patients (P5) a skilled patient who utilized HHA.

The agency failed to electronically transmit completed Outcome and Assessment Information Set (OASIS) data within 30 days following completion to the State agency for 2 of 3 patients (P10, P12) in the sample who received skilled nursing services under a State Medicaid (MA) funded program.

The agency failed to ensure 1 of 5 patients (P3) medication profile was maintained accurately and was up to date.