Cooperative Home Care, Inc

The home health provider failed to ensure that wounds were measured in three of five full records reviewed (Records/Patients #1, #4, and #5).

The home health provider failed to ensure that criteria were met to facilitate a transfer or discharge from care in one of two discharge records reviewed (Record/Patient #5).

The home health provider failed to ensure a complete and accurate medication list was maintained in, but not limited to, two of three home visit observations (Record/Patient #2, and #3).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…

The agency failed to provide a discharge summary that included all necessary components was sent to the primary care physician after discharge within five business days of the patient's discharge in one (Record/Patient #4) of one discharge records reviewed.

The agency failed to update the written notice of patient rights to include the rights of the patient and representative (if any) regarding contact information for the home health agency administrator to receive complaints.

The agency failed to ensure the patient was advised orally of the extent to which payment for services may be expected from Medicare, Medicaid, or any other federally-funded aid program, the charges of services that may not be covered for five full records reviewed.

The agency failed to update the written notice of patient rights to include the name, address and phone number of the current Quality Improvement Organization (QIO) that serves the area where the patient resides.

The agency failed to ensure/maintain an accurate and complete review of all medications the patient was currently using in, but not limited to, one (Record/Patient # 3) of five full records reviewed.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all the required elements, in but not limited to, one (Record/Patient #5) of five full records reviewed.

The agency failed to provide drugs, services and treatments only as ordered by a physician in, but not limited to, two (Records/Patients #3 and #5) out of five full records reviewed.

The agency failed to ensure staff provided the patient/caregiver with ongoing education and training in, but not limited to, two (Records/Patients #1 and #3) of five full records reviewed.

The agency failed to update the written notice of patient rights to include the rights of the patient and representative (if any) regarding the name and the contact information for the home health agency clinical manager.

The agency failed to ensure a complete, comprehensive transfer summary containing relevant information was sent to the other health care facility the patient was receiving care at within two business days of the agency becoming aware of the patient's transfer for one (Record/Patient #5) of one…

The agency failed to ensure on-call staff attended to patient’s calls for assistance with malfunctioning wound vac (vacuum-assisted closure of a wound is a type of therapy to help wounds heal) machine and wound vac dressing changes during after-hours and did not follow the agency's policy which…

The agency failed to ensure the patient's strengths, goals, and care preferences, including information that may be used to demonstrate the patient's progress toward achievement of the goals identified by the patient were assessed/documented as part of the patient's comprehensive assessment in, but…

The agency failed to ensure the registered nurse (RN) performed an accurate and complete review/update of all medications the patient was currently using in, but not limited to, three (Records/Patients #1, #3, and #4) of five cases reviewed.

The agency failed to ensure the plan of care included patient identified goals and the required description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors in, but not limited to, three…

The agency failed to ensure staff provided the patient/caregiver with ongoing education and training in, but not limited to, one (Record/Patient #5) of five records reviewed.

The agency failed to ensure the home health aide completed the additional required training that became effective 01/13/18 in one (Employee: E 1) of one applicable personnel file reviewed.

The agency failed to ensure that the home health aide documented/provided care as directed on the aide assignment sheet in one (Record/Patient #4) of one applicable record.

The agency failed to ensure that the agency staff evaluated the aide for all of the required elements during the aide supervisory visits in one (Record/Patient #4) of one applicable records.

The agency failed to provide/send a completed discharge summary to the responsible physician within five business days of the patient's discharge in one (Record/Patient #5) of one applicable discharge record reviewed.