Caring Nurses Advocates for Patients, Ltd

The Home Health Agency (HHA) failed to complete an initial assessment within 48 hours of the referral date, the inpatient discharge date, or the practitioner ordered start of care (SOC) date for three of six patients (Patient (P) 1, P2, and P6).

The Home Health Agency (HHA) failed to include in the discharge summary sent to the patient's primary care provider (PCP) all necessary information regarding the care and services the patient received for six of six patients (Patient (P) 1, P2, P3, P4, P5, and P6).

The agency failed to ensure the physician was notified of the patient's condition that indicated the desired outcomes were not being met or changes were needed in the plan of care.

The agency failed to document a complete patient pain assessment and/or failed to evaluate and document a patient's response to pain interventions for one (1) of seven (7) clinical records of patients who experienced pain in the survey sample (Clinical record # 4).

The agency failed to send the patient's discharge summary to the primary care physician within 5 business days of the patient's discharge for seven (7) of seven (7) discharged patients in the survey sample (Clinical records: #1-7).

The agency failed to develop a training program related to emergency preparedness that included the following: (i) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with…

The agency failed to document conducting emergency preparedness exercises to test their emergency plan at least annually which consisted of: 1. Participated in a full-scale exercise that was community-based or when a community-based exercise was not accessible, an individual, agency-based.

The agency staff failed to document reporting changes noted in the patient's condition to the agency's registered nurse or other appropriate skilled professional for one (1) of two (2) medical records who required personal care services and were reviewed in the survey sample and…

Agency staff failed to ensure each patient receiving non-skilled care had an on-site supervisory visit no less frequently than every 60 days in order to assess each aide while he or she is performing care for two (2) of two (2) medical records reviewed in the survey sample and admitted/recertified…