Carepointe Home Health Services, Inc

The Home Health Agency (HHA) failed to review and update their policy and procedure for emergency preparedness.

The home health agency staff failed to implement the plan of care regarding pain assessment for one of seven sampled patients (Patient 1).

The home health agency failed to administer the treatments as ordered by the physician for one of seven sampled patients (Patient 1).

The home health agency (HHA) failed to ensure the medication profile was reviewed and updated, with all the current medications for one of seven patients (#6).

The administrator failed to ensure the performance evaluation was done annually for the Director of Patient Care Services (DPCS) and Licensed Vocational Nurse (LVN) 1. This deficient practice has the potential to affect the provision of care provided to the patients when strengths and areas of…

The Home Health Agency (HHA) failed to ensure the clinical record was submitted no later than 7 days after care was provided for one of seven patients (#5).

The Home Health Agency (HHA) failed to ensure the written plan of care (POC) was reviewed and approved by the primary physician for two of ten sample patients.

The home health agency (HHA) staff failed to review all the medications, clarify any discrepancies with the physician, and accurately update the medication profile two of 10 sample patients (Patient 1 and 2).

The Home Health Agency (HHA) failed to ensure the comprehensive assessment was completed within the last 5 days of every 60 days recertification period so that the plan of care could be developed for one of 10 sample patients (Patient 2).

The Home Health Agency (HHA) failed to provide service and treatment as ordered for three of seven sampled patients.(Patients 1, 2 and 3) For Patients 1 ands 2, the skilled nurse (SN) failed to visit the patients as ordered.

The home health agency (HHA) failed to ensure one of four patients (Patient 1) who was totally dependent for care and receiving shift nursing care received the needed staffing coverage at his place of residence.

The home health agency's administrator failed to provide licensed shift nursing staff coverage as indicated in the plan of care, for one of four patients (Patient 1), who was quadriplegic (unable to move both arms and legs) and required total skilled nursing care including, but not limited to: 1.…

The Home health Agency (HHA) staff failed to ensure Patient 3's plan of care included the medications he was taking.