Colorado Plains Home Health LLC

The administrator failed to protect the rights of the patients served by the agency regarding discharge notification and failed to follow regulations for safe transition of care for patients currently served by the agency.

Specifically, the agency failed to ensure each patient received home health services in accordance with a written plan of care established, reviewed and authorized by a physician prior to rendering services; to ensure services and treatments were provided in conformance with physician's orders; and…

The agency failed to implement a quality assessment and performance improvement (QAPI) program which evaluated all agency services and complied with the requirements and standards set forth in CFR 484.65. The failure created the potential for the agency to overlook trends which affected the quality…

The Administrator of the agency failed to organize, manage, and administer the agency's day to day operations in order to maintain the highest practicable functional capacity of the agency, including providing optimal care to achieve the goals and outcomes identified in the patient's plan of care…

The agency failed to develop and implement an effective discharge planning process and assist patients and their caregivers in selecting a new care provider by using and sharing data that includes, but is not limited to data on quality and resource use measures affecting 41 current agency patients.

The agency failed to ensure services and treatments were provided in accordance with physician's orders for 1 of 1 patient records reviewed who received skilled nursing (SN) for diabetes medication management (Patient #1).

The agency failed to document evidence the agency advised the patients, their representatives and the physicians that a discharge for cause was being considered in 4 of 5 current patient records reviewed (Patients #1, #2, #4 and #5).

The agency failed to document communication among home health agency management, patients and caregivers, legal representatives and physicians responsible for the plan of care regarding contact agencies or providers who may be able to provide care in 4 of 5 current patient records reviewed…

The agency failed to ensure each patient's plan of care included measurable outcomes and goals identified by the home health agency (HHA) and the patient and additional items the HHA chose to include, specifically the homebound narrative and medical necessity for home health services for 5 of 5…

The agency failed to ensure drugs, services and treatments were administered as ordered by a physician for seven of seven patient records reviewed (Patients #1, #2, #3, #4, #5, #6 and #7).

The administrator failed to organize and direct the agency's day to day operations.

The administrator failed to ensure the home health agency employed qualified administrative staff.

The administrator failed to ensure he or his qualified alternate administrator were available during all operating hours.