Caregivers America Home Health Services, LLC

The agency failed to ensure 60 hours of home health aide training was completed by two (2) of three (3) home health aides who provided personal care services.

The Administrator failed to ensure the "Home Health Certification and Plan of Care" was developed in accordance with agency policies/procedures for three (3) of three (3) clients (patients).

The agency failed to ensure the physician's countersignature was obtained within 30 days of the verbal order date included on the "Home Health Certification and Plan of Care" for three (3) of three (3) clients (patients).

The agency failed to ensure the "Home Health Certification and Plan of Care" was reviewed and revised by the physician at least every 60 days for one (1) of three (3) clients (patients).

The agency failed to ensure home health aide services were provided in accordance with physician orders included on the "Home Health Certification and Plan of Care" for three (3) of three (3) clients.

The agency failed to ensure onsite supervisory visits of the home health aide were conducted every 60 days for one (1) of three (3) clients for whom the service authorization was for home health aide services only.

The agency failed to ensure home health Outcome and Assessment Information Set (OASIS) data was transmitted to the CMS system (iQIES database) within 30 days of the assessment completion date for two (2) of four (4) adult clients (patients) for whom OASIS data was collected.

The agency failed to submit a report of four (4) of four (4) reportable events to the PA DOH Event Reporting System (ERS) website which were received after May 16, 2023. (Clients #1, #5, #8 and #9) Findings include: On April 1, 2025 at approximately 3:05 PM, review of policy B-340, titled "Incident…

The agency failed to ensure initial and annual screening for mycobacterium tuberculosis (TB) had been completed in accordance with agency policy/procedure and CDC recommendations for four (4) of eleven (11) agency staff members.

The agency failed to ensure documentation was maintained in the personnel file which provided evidence the initial competency evaluation for two (2) of two (2) home health aides included a skills evaluation via observation while the HHA performed the tasks with a patient or pseudo-patient.

The agency failed to ensure documentation was maintained in the personnel file which provided evidence one (1) of two (2) home health aides completed 12 annual in-service hours.

The agency failed to ensure documentation was maintained in the personnel file which provided evidence a registered nurse (RN) completed an annual onsite visit with two (2) of two (2) home health aides.

The Governing Body failed to ensure background clearances were completed in accordance with agency policy/procedure and PA DHS requirements for two (2) of five (5) direct care staff members who provided care to clients (patients) under the 18 years of age.

The agency failed to ensure the name of the Administrator, in order to receive complaints, was included in one (1) of one (1) patient handbooks.

The agency failed to ensure the home health plan of care (plan of treatment) included physician orders for a private duty skilled nursing (PDN-skilled nursing shift care) visit frequency and duration for two (2) of seven (7) clients (patients).

The agency failed to ensure the physician's countersignature for verbal orders included on the "Home Health Certification and Plan of Care" was obtained in accordance with agency policy/procedure for five (5) of five (5) clients (patients).

The agency failed to ensure documentation was maintained in the clinical records which provided evidence revisions to the home health plan of care (plan of treatment) were verified by registered nursing staff for four (4) of seven (7) clients (patients) for whom feedings are administered via a…

The Clinical Manager/Administrator failed to ensure documentation was maintained in the personnel file which provided evidence performance appraisals, competency evaluations and certifications were completed/maintained in accordance with agency policy/procedure for five (5) of nine (9) direct care…

The agency failed to ensure that physician orders for initial certification and recertification were countersigned by the attending physician within 30 days of the start of care or recertification date for three (3) of five (5) active patients for whom home health services were provided for more…

The agency failed to ensure the licensed practical nurse (LPN-employee #6) notified the registered nurse of equipment malfunction for one (1) of one (1) clients for whom a tracheostomy (surgically created airway in the front of the neck) is present.

The administrator failed to ensure documentation was maintained in the personnel file which provided evidence that a hands-on ventilator (mechanical device which provides assistance with breathing) and/or tracheostomy (surgically created airway in the front of the neck) competency demonstration was…