Caring Angels Home Health Services, Inc

The Agency failed to ensure the Pt. receive information concerning Pt. rights during the initial visit; contact information of the Administrator was provided to Pts.; receive information regarding OASIS Privacy Rights, Pt. rights and responsibilities, Agency transfer and discharge policies, Agency…

The Agency failed to ensure the POC included interventions for wound care, staff provide treatment or service as ordered by the Physician, the RN assess the need for Pneumonia and/or Influenza vaccines of Pts., the SN notify the Physician of changes in a patients' condition, Agency staff educate…

The Agency failed to ensure the Administrator maintained responsibility for daily operations of the Agency; ensure the Clinical Manager/Director of Nursing, or an alternate was available during working hours of the Agency; and that at least one service was provided by direct staff.

The Agency failed to ensure the Physician was sent a copy of the transfer and/or discharge summary, that documentation entered into the clinical record was complete, and corrected as required by the Agency, and clinical records are protected and maintained in a confidential manner.

The Agency failed to review and update its Emergency Preparedness plan biennially.

The Agency failed to review and update the Emergency Preparedness policies, procedures, and risk assessment as required.

In 86 reports submitted for a 12-month period, the Agency failed to ensure OASIS assessments are submitted within 30 days of assessment.

In 2 of 7 (Pts. #6 and 7) clinical records reviewed, the Agency failed to ensure at least one service was provided by direct staff.

In 3 of 7 (Pts. #2, 6 and 7) clinical records reviewed, the Agency failed to ensure that documentation entered into the clinical record was complete, and corrected as required by the Agency.

The Agency failed to ensure clinical records are protected and maintained in a confidential manner.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to ensure the Pt. receive information concerning Pt. rights during the initial visit.

The Agency failed to provide the Pt./patient's representative information regarding the Administrator.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to provide OASIS Privacy Rights.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to provide the Pt. information regarding Pt. rights and responsibilities.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to provide the Pt. written information regarding the Agency's policies on transfer and discharge.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to provide the Pt. written information regarding the Agency's policy concerning the complaint process.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to ensure the Pt./representative was informed in writing of the services to be provided and the frequency of visits.

The Agency failed to ensure clinical record information is maintained in a private and confident manner.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to provide State Hotline information to the Pt.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to ensure the Pt. receive information that no bias or prejudice will occur for verbalizing concerns regarding the Agency.

In 3 of 7 (Pts. #1, 3, and 5) clinical records reviewed, the Agency failed to ensure the initial assessment was done within 48 hours upon receipt of a referral.

For 1 of 1 (Pt. #7) clinical record reviewed of a Pt. that required wound care, the Agency failed to ensure POC included interventions for wound care.

In 4 of 7 (Pts. #3, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure staff provide treatment or service, as ordered by the Physician.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure the RN assess the need for Pneumonia and/or Influenza vaccines of Pts.

In 1 of 7 (Pt. #6) clinical records reviewed, the Agency failed to ensure the SN notify the Physician of changes in patients’ condition.

In 1 of 3 (Pt. #2) home visits conducted, Agency staff failed to educate and train the Pt.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to ensure staff provide a calendar or schedule of projected visits.

In 1 of 3 (Pt. #2) home visits conducted, the Agency failed to ensure the SN provide the Pt. a list of their medications, and directions on administering the medications.

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide information regarding the Director of Nursing.

In 1 of 7 (Pt. #2) home visits conducted, the Agency failed to involve the Pt. in composing the POC.

For 1 of 5 (Pt. #6) clinical records reviewed wherein services were provided by a LPN, the Agency failed to ensure the RN conducted supervisory visits of the LPN once a month, as required by the Agency.

The Agency failed to ensure the Administrator maintained responsibility for daily operations of the Agency.

The Agency failed to ensure the Clinical Manager/Director of Nursing, or an alternate was available during working hours of the Agency.

In 1 of 2 (Pt. #6) closed clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the transfer and/or discharge summary.

The Agency failed to review and update its Emergency Preparedness Plan and policies biannually.

The Agency failed ensure the risk assessment was reviewed and updated.

The Agency failed to review and update the Communication Plan biannually.

The Agency failed to conduct Emergency Preparedness testing exercises.

The Agency failed to ensure staff provide service/treatment as ordered by the Physician, and indicated in the POC.

The Agency failed to develop a COVID-19 screening process for field staff, office staff, visitors; and ensure staff screen Pts. for COVID-19 prior to providing Pt. service.

The Agency failed comply with its policy for Infection Surveillance, and incorporate standards for COVID-19 into the Infection Control and Surveillance plans.

The Agency failed to ensure the POC contained the required elements.

The Agency failed to assess patients' Influenza and/or Pneumococcal vaccine status at the SOC, as required by the Agency.

The Agency failed to ensure the Home Health Aide provided services, as directed on the Home Health Aide Care Plan.

The Agency failed to ensure the RN conduct Aide supervision every 14 days.

The Agency failed to ensure visit notes were incorporated into the clinical record, in a timely manner.