Comfort at Home Healthcare Inc

The agency failed to ensure HHA services were received by patients as ordered on the POC for 3 of 3 home visit patients records reviewed (Patient #1, #2, #3).

The agency failed to ensure staff followed manufacturer's guidelines for appropriate disinfection of equipment to prevent cross-contamination and ensure safety of staff and patients for 3 of 3 SN home visits (Patient #1, #2, #3).

The agency failed to ensure POCs included personalized patient and caregiver training and education to promote an efficient discharge for 7 of 7 patients' records reviewed (Patient #1, #2, #3, #4, #5, #6, #7).

The agency failed to ensure an RN monitored the care provided to patients by the LPN for 2 of 3 home visit patients records reviewed (Patient #2, #3).

The agency failed to ensure discharge summaries were sent to patients' primary care provider within 5 business days of the patient's discharge for 2 of 2 closed records reviewed (Patient #6, #7).

The immediate jeopardy began July 17, 2020 when the agency accepted a patient (patient 8) with a known infestation of bed bugs and subsequently placed the patient's services on hold after completing the initial comprehensive assessment failing to provide services as ordered by the physician The…

The agency failed to maintain compliance with the Condition of Participation of Skilled Professional Services.

The agency failed to follow the plan of care for 3 of 11 patients with services on hold.

The agency failed to provide services as ordered by the physician resulting in an adverse outcome in 2 of 3 patient records reviewed with services on hold related to bed bugs.

The agency failed to ensure all documentation was properly authenticated and located in the patient's clinical record for 1 of 3 patients with services on hold related to bed bugs.

The agency failed to ensure all patient's with bed bugs received services as ordered in 3 of 3 records reviewed.

The agency failed to transfer or discharge 3 of 3 patients with services on hold according to agency policy when unable to meet the patients needs, with the potential to affect all patients.

The agency failed to document all complaints in the agency complaint log for 1 of 1 complaint log review.

The agency failed to promptly alert the physician of changes in patient's condition and/or changes that would prevent the patient from meeting goals listed in the plan of care in 3 of 3 records reviewed for patients with bed bugs.

The agency failed to ensure the patient's power of attorney for 1 of 1 of patient's on hold with medication set up received a written copy of the patient's medication list including route, frequency, and dosage.

The agency failed to ensure skilled professionals provided care as ordered by the plan of care for 1 of 11 patients on hold reviewed.

The skilled professional failed to provide education to the patient's family/caregiver when services were placed on hold for bed bugs in 1 of 3 patient records reviewed.

The skilled professional failed to communicate with all physicians involved in the plan of care for 10 of 11 patient's on hold reviewed potentially affecting all of the agencies 175 patients.