Clover Home Health Care

The home health agency failed to ensure all plan of care (POC) certification period entries in the clinical record were appropriately dated for 1 of 3 active patient records reviewed (Patient #5).

The home health agency failed to ensure the patient received the Occupational Therapy evaluation for 1 of 1 active record which evidenced a missed therapy evaluation (Patient #1).

The home health agency failed to ensure an initial assessment was completed by a Physical Therapist (PT) within 48 hours, for 2 of 2 patient records reviewed with a referral for PT services (Patient #1, #6).

The agency failed to ensure the patient’s medical, nursing, rehabilitative, social, and discharge planning needs were met for 1 of 4 active patient records (Patient #6) and 1 of 3 closed records reviewed (Patient #2).

The home health agency failed to ensure a review of all medications the patient was taking for 1 of 4 active patients records reviewed (Patient #1).

The agency failed to ensure comprehensive assessment was completed at time of discharge for 1 of 1 closed records reviewed receiving Home Health Aide services (Patient #3).

The home health agency failed to ensure the plan of care (POC) included all medications for 1 of 4 active records reviewed (Patient #1) and 1 of 3 discharge records reviewed (Patient #2).

The home health agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for 3 of 4 active patient records reviewed (Patient #1) and 1 of 3 closed records (Patient #4).

The home health agency failed to ensure the plan of care (POC) was reviewed with the physician at start of care (SOC) and/or at recertification for 3 of 7 patient records reviewed (Patient #1, 4, and 5).

The home health agency failed to document collaboration with the patient, caregiver and physician regarding discharge for 1 of 3 discharged patient records reviewed (Patient # 4).