Caregivers, Inc

The agency failed to ensure: the services were provided per the POC (See G0572); the services were provided only as ordered by physician (See G0580); notify the physician of not meeting the POC (See G0590); and coordination of care for all services provided to the patient (See G0606); and failed to…

The agency failed to ensure the clinical staff followed infection control guidelines in 4 of 4 home visits (See G0682); and failed to ensure they developed and maintained an agency-wide infection control program outlining surveillance, identification, prevention, control, and investigation of all…

The agency failed to submit OASIS within 30 days of assessment completion for 3 of 7 active clinical records reviewed (Patients: #6, 7, and 11) and 5 of 5 inactive clinical records reviewed.

The agency failed to ensure patients were provided services as ordered in the POC for 3 of 6 active records reviewed.

The agency failed to ensure the agency tracked and analyzed adverse patient events and implemented actions to prevent adverse events for 1 of 1 agency.

The agency failed to ensure the clinical staff followed the agency’s policies for infection control practices, performing wound care, the use of reusable medical equipment, hand hygiene, and gloving in 4 of 4 home visit observations.

The agency failed to have an agency wide infection control program for surveillance, identification, prevention, control, and investigation of infectious and communicable diseases, ongoing systematic collection, analysis, interpretation and evaluation for 1 of 1 agency.

The agency failed to ensure the HHA care plan was individualized and patient-specific for 1 of 1active records reviewed receiving SN and HHA services.

The agency failed to ensure wound care treatments were provided only as ordered by a physician in 1 of 2 active clinical records reviewed, with patients receiving wound care treatments.

The agency failed to ensure the RN notified the physician of changes in the patient’s wounds for 1 of 2 (Patient: #2) active clinical records reviewed receiving wound care, and failed to ensure the physician had been notified of the agency’s inability to provide services in 2 of 3 (Patients: #4…

The agency failed to ensure the LPNs coordinated care, communicating patient concerns to the RN in 2 of 2 active patient records reviewed who received LPN services.

The agency failed to provide patients and caregivers with a visit schedule for the frequency of visits by agency staff during 2 of 4 home visits conducted.

The agency failed to measure and track performance improvement projects to determine if improvement occurred and was sustained from data derived from untimely OASIS assessments, and failed to implement a process improvement plan for the frequency and detail of data collection for 1 of 1 agency.

The agency failed to ensure the patient/caregiver/family were instructed and demonstrated wound care dressing changes for 1 of 2 active clinical records review (Patient #2) with wound care orders.

The Administrator/Alternate Clinical Manager failed to ensure responsibility for the day-to-day operations, including 24-hour RN availability.

The Administrator failed to ensure the patients’ needs were continuously assessed and received services to meet their needs for 3 of 6 active records reviewed.

The Agency failed to ensure the content of the comprehensive assessment accurately reflected the patient's health status and compliance with medication administration in 1 clinical record review of 18. (Patient 3) Findings include: A review of an agency’s undated policy titled, ‘SKILLED NURSING…

The agency failed to ensure the patient received all services ordered in the plan of care in 2 of 18 clinical records reviewed.

The agency failed to ensure staff implemented infection prevention measures, including hand hygiene while providing patient care in 5 (licensed practical nurse #1, registered nurse #1, registered nurse #2, and physical therapist #1, physical therapist #2) of 7 home visits observations.

The agency failed to provide patients/families with contact information for the current administrator, including the administrator's name, title, business address, and business phone number in order to receive agency complaints in 2 (Patients 5 and 17) of 7 home visits observed of a total sample of…

The agency failed to ensure that clinicians performed a review of all medications the patients were taking in 1 (Patient 5) of 7 home visits observed, of a total sample of 18 patients.

The Agency failed to ensure communication with the attending physician occurred with a change of status and medication non-compliance in 1 of 18 clinical records reviewed.

The agency failed to ensure that RNs (Registered Nurses) were monitoring and evaluating the LPN's (Licensed Practical Nurses) performance in the provision of services, provision of treatments, patient education, communication with the RN, and data collection regarding the patient's status and…

The agency failed to ensure it had solicited volunteers for service during a disaster or emergency, to include the their roles for integration with health care professionals during the disaster/emergency for 1 of 1 home health agency disaster preparedness plan.

The agency failed to participate in emergency exercises, community and/or facility-based, designed to challenge their emergency plan for 1 of 1 Agency.

The agency failed to ensure the RN (Registered Nurse) conducted an initial visit to assess the immediate needs of the referred patient within 48 hours of a referral in 1 of 12 active records reviewed.

The Registered Nurse failed to ensure the home health aide assignment sheet included all services per the plan of care and not contain services beyond the scope of practice or to perform duties not ordered per the plan of care for 1 of 2 (#3) home health aide only services patient, and failed to…

The Registered Nurse failed to ensure medication discrepancies were reconciled with the ordering physician for 1 of 2 new admissions (#1) within the last 30 days and failed to ensure medication reconciliation was completed upon admission, with changes, and with each certification period thereafter…

The agency failed to ensure all home health aide duties were included on the plan of care for 1 of 2 patient records (#3) of aide only services, failed to ensure the plan of care was complete for 1 of 2 new admission records reviewed (#2) within last 30 days, failed to include bleeding precautions…

The agency failed to ensure the Speech Therapist notified the physician in regards to a diet change for 1 of 1 (#2) patient receiving speech therapy services for dysphagia, and in regards to a delay in occupational therapy for 1 of 1 (#2) patient to receive occupational therapy services.

The agency failed to ensure the home health aide provided services per the plan of care for 1 of 2 records reviewed of home health aide only services.

The agency failed to ensure the Registered Nurse conducted supervisory visits no less than every 14 days for 1 of 17 records reviewed of patients receiving skilled and non-skilled services.

The agency failed to ensure the Registered Nurse conducted in-home supervisory visits every 60 days for 1 of 2 records reviewed with home health aide only services.