Continental Home Health Care, Inc

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The agency failed to promptly alert the physician in 3 of 3 records reviewed (MR#s 1, 2 and 3), from a total sample of 6 records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to develop and maintain an emergency preparedness program that includes an emergency plan, policies, procedures, communication plan, training, and testing.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and needs for 4 (MR's #1, 2, 3, 4) records, from a total of 7 sampled records reviewed,resulting in incomplete clinical information towards determining the needs of these patients…

The Agency failed to provide evidence of its efforts to measure, track and analyze it's quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided and the potential unmet care needs for all 30 patients currently…

The agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every 2 years and include guidance for Emerging Infectious Diseases, resulting in lack of direction for agency personnel in the event of an actual emergency or disaster.

The agency failed to ensure their emergency preparedness plan was based on documented facility and community-based risk assessments from an all-hazards approach, including strategies for emerging infectious diseases, resulting in the lack of direction or framework for agency personnel in the event…

The agency failed to ensure their emergency plan includes a process for cooperation and collaboration with local, regional, State, and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency, resulting in a potential lack of coordination with…

The agency failed to ensure the emergency preparedness policies and procedures included a process for informing State and local emergency preparedness officials of patients needing evacuation from their residence at any time due to an emergency, resulting in a potential lack of coordination with…

The agency failed to develop Emergency Preparedness policies and procedures that addressed the use of volunteers or other emergency staffing strategies during an emergency, resulting in the potential for the interruption in care and services for the agency's 30 current patients.

The agency failed to develop and maintain an Emergency Preparedness communication plan that complies with Federal, State, and local laws, and must be reviewed and updated at least every 2 years.

The agency failed to develop and maintain an Emergency Preparedness communication plan that includes the names and contact information for staff, entities providing services under arrangement, patient's physicians, and volunteers, resulting in a lack of effective communication in the event of an…

The agency failed to develop and maintain an emergency preparedness communication plan that is reviewed and updated at least every 2 years and includes contact information for Federal, State, regional, local emergency preparedness staff, and other sources of assistance, resulting in a lack of…

The agency failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with staff, Federal, State, tribal, regional, and local emergency preparedness officials, resulting in a lack of a framework to coordinate a response…

The agency failed to develop and maintain an Emergency Preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, and the communication plan.

The Agency failed to ensure that the comprehensive assessment was updated and revised in 1 (MR #4) of 1 record in which the patient was transferred and admitted to an inpatient facility related to unknown causes, resulting in the lack of information in determining the care and support needs of the…

The Agency failed to provide evidence of its efforts to measure, track and analyze it's quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided and the potential unmet care needs for all 30 patients currently…

The Agency failed to develop Performance Improvement activities, as part of the Agency's Quality Assessment Performance Improvement program, in order to track and trend adverse patient events, analyze the cause and implement preventive interventions, resulting in the potential for the rendering of…

The Agency failed to develop a Quality Assessment Performance Improvement program that documented the quality improvement projects, the reasons for conducting these projects with measurable progress achieved on these projects for 2018, 2019 and 2021, resulting in the Agency's inability to improve…

The Governing Body failed to ensure the Agency had an active and functioning Quality Assessment and Performance Improvement program that addressed priorities for improved quality of care and patient safety and was evaluated for effectiveness, resulting in the potential to negatively affect the…

The Agency failed to ensure Skilled Nursing prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 1 (MR# 3) of 1 record in which Home Health Aide services were ordered, from a total of 7 sampled…

The Agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and needs for 4 (MR's #1, 2, 3, 4) records, from a total of 7 sampled records reviewed,resulting in incomplete clinical information towards determining the needs of these patients.

The Agency failed to ensure that the comprehensive assessment was updated and revised in 1 (MR #4) of 2 records in which the patient was discharged from the agency's services, resulting in the lack of information in determining the continuing needs of the patient.

The POC failed to include interventions or goals related to the patient's pressure ulcers.

The agency failed to ensure treatments were provided only as ordered by the physician in 1 of 1 (MR# 5) records reviewed in which wound care was provided, resulting in the potential to negatively affect the health and well-being of this patient.

The agency failed to ensure the physician was promptly notified of elevated blood pressure readings outside of the reportable parameters for 1 of 7 (MR #5) records reviewed, resulting in the potential to negatively affect the health and well-being of this patient.

The agency failed to ensure the nurse documented weekly wound measurement assessments of the patient's wounds and failed to ensure the registered nurse assessed the patient before discharge from skilled nursing for 1 of 1 (MR #5) records reviewed in which the patient had pressure ulcers, resulting…

The Agency failed to ensure Physical Therapy services were provided for 1 (MR #4) of 7 records with Physical Therapy services ordered; and failed to ensure the Registered Nurse assessed a patient's Oxygen levels as ordered in 1 (MR #3) 1 patient who experienced shortness of breath, from a total of…

The Agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 2 (MR# 4, 5) of 2 records in which the patient was…

The Agency failed to ensure the emergency plan included strategies for addressing the emergency events identified by the risk assessment, resulting in the potential to affect the Agency's ability to provide patient care in the event of an actual emergency.

The Agency (HHA) failed to have a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document the it's efforts in contacting these officials to engage in…

The Agency failed to include in its emergency plan the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the Agency is…

The Agency failed to implement in the Emergency Preparedness policy the use of volunteers and other emergency staffing strategies, and the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency, resulting in the…

The Agency (HHA failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws that included the following required subject areas (1) Names and contact information for the following: (i) Staff, (ii) Entities providing services under…

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, tribal, regional, local emergency preparedness staff and other sources of assistance, resulting in the lack of essential information in the event of an…

The facility failed to develop and maintain an emergency preparedness communication plan that included a primary and alternate means for communicating with staff and Federal, State, tribal, regional, and local emergency preparedness officials, resulting in the lack of essential information in the…

The Agency failed to ensure the communication plan included a method for sharing information and medical documentation for patients under the Agency's care with other providers to maintain continuity of care, resulting in the potential to affect the Agency's ability to provide pertinent patient…

The home health agency failed to advise the 40 current active patients of the names, addresses, and telephone numbers of the Federally-funded and state-funded entities that service the area where their patients reside.