Christian Home Health Services

The agency failed to ensure their staff followed accepted standards of practice to prevent the transmission of infections in 2 of 3 observations of direct care (physical therapist [PT] 2 and registered nurse [RN] 1. Findings include: During an observation of a home visit on 10/1/24 beginning at…

The agency failed to ensure home health aides (HHA) were assigned to a specific patient tasks by the registered nurse (RN), with written patient care instructions in 1 of 4 active patient records with and RN and HHA on service (Patient #4).

The agency failed to ensure entries were appropriately authenticated in the clinical record in 2 of 5 active clinical records reviewed with a home health aide (HHA) on service (Patients #4).

The agency failed to evidence patient's legal representative was provided with written notice of the patient’s rights and responsibilities, transfer and discharge policies during the initial assessment visit, in advance of furnishing care 1 of 1 clinical record reviewed of a patient who resided on…

The agency failed to conduct an initial assessment to determine the immediate care and support needs of the patient within 48 hours of patient referral in 2 of 4 active clinical records reviewed (Patients #3 and 5) . Findings include: On 10/1/24 Registered Nurse 2 provided a document and indicated…

The agency failed evidence the patients comprehensive accurately reflect the patient's current health, psychosocial, functional, and cognitive status through comprehensive assessment for 2 of 3 active patients reviewed receiving physical therapy services (Patient #2 and 3).

The agency failed to provide a comprehensive assessment that accurately reflects the patient’s status including a review of all medications in 1 of 1 active record reviewed who resided in a group home [Patient #1] and 2 of 3 active records reviewed who resided in an assisted living facility…

The agency failed to ensure the comprehensive assessment accurately reflect the patient's primary caregiver willingness and ability to provide care, availability or schedule for 1 of 1 patients residing on a memory care unit receiving physical therapy services (Patient #2).

The agency failed to ensure the individualized plan of care included the types of services, supplies, and equipment required; all medications and treatments; safety measures to protect against injury; or any additional items the home health agency or allowed practitioner may choose to include for 5…

The agency failed to ensure that drugs, services, and treatments are administered only as ordered by a physician in 2 of 6 [Patients # 1 and 5] active clinical records reviewed and 1 of 2 closed clinical records reviewed (Patient #7).

The agency failed to ensure the supervisory assessment of a home health aide (HHA) was completed no less frequently than every 14 days in 1 of 1 active clinical record with a partial review done to assess supervisory visits (Patient #9).

The agency failed to evidence a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the home health agency within 5 business days of the patient’s…

The home health agency failed to ensure the OASIS (Outcome and Assessment Information Set) was accurate and reflected the patient's status in 1 of 5 active clinical records reviewed.

The agency failed to ensure the contents of the clinical record were complete and accurate in 1 of 2 closed clinical records reviewed.

The home health agency failed to review all medications the patient was taking to identify any potential adverse effects and drug reactions in 1 of 2 closed clinical records reviewed.

The home health agency failed to ensure the plan of care was individualized to contain medication indications, medical supplies, patient-specific interventions, and frequency of services in 5 of 7 clinical records reviewed.

The home health agency failed to ensure the home health aides provided services that were ordered and included in the plan of care and consistent with the aide care plan in 3 of 4 clinical records reviewed with home health aide services ordered.

The home health aide supervision failed to ensure the home health aides followed the aide care plan in 3 of 4 clinical records reviewed receiving home health aide services.

The home health agency failed to follow infection control guidelines in 1 of 1 home visits (#7) observed with a Home Health Aide(#A).