Crawford County Home Health, Hospice & Public Heal

The agency failed to ensure documentation included electronic staff signature and credentials for 1 of 3 sampled patients with orders for Physical Therapy.

The agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to report changes in patient clinical findings or changes in patient needs to the physician for 2 of 2 sampled patients with home visit observations completed that included medication set up.

The agency failed to communicate, and involve the physician and the patient, in plans for discharge from the agency prior to the patients discharge in 1 of 3 sampled patients discharged.

The agency failed to coordinate care provided by all disciplines, and integrate services, to assure patient needs are being met for 1 of 1 patients sampled with contracted therapy services.

The agency failed to ensure skilled professional staff involved in the patient's plan of care completed an ongoing interdisciplinary wound assessment as required by agency policy and expectation for 1 of 1 sampled patients with wounds (Patient #3).

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 7 of 8 sampled patients (Patients #2, #3, #4…

The agency failed to ensure agency staff properly authenticated all clinical entry notes and/or completed within the agency's expected timeframe for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7, and #8) receiving home health services.

Staff interview the agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and…

The agency failed to ensure agency patients and/or patient representative received proper written notice, in advance of a service being furnished, if the agency believes the service may be non-covered for 2 of 3 patients with private insurance (Patients #1 and #8).

The agency failed to complete a drug regimen review, including all required components, with each comprehensive assessment within the allowed time frames for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7 and #8 ).

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 1 of 2 sampled patients requiring a recertification assessment (Patient #3).

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 1 sampled patients requiring a resumption of care assessment (Patient #1).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and physician approved staff interventions for 2 of 3 sampled patients with surveyor home visit observation(Patients #2 and #3).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/interim physician orders for 5 of 5 sampled patients with new verbal/interim orders.

The agency failed to provide agency patients with written contact information for the agency's clinical manager, including the clinical manager's name and contact information (telephone number and/or email address).

The agency failed to send a discharge summary to the physician and other health care professionals who would be providing care to the patient after discharge within 5 business days for 1 of 2 sampled patients with a discharges (Patient #7).

The agency failed to ensure training in emergency preparedness to all individuals providing services under arrangement, consistent with their expected roles.

The agency failed to ensure completion of a discharge comprehensive assessment within 2 days of the agency's knowledge of the need for discharge for 1 of 2 sampled patients discharged from agency services (Patient #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all services, supplies, equipment, medications and treatments for 4 of 8 sampled patients (Patients #1, #2, #3 and #8).

The agency failed to ensure a registered nurse (RN) completed home health aide supervision at least every 60 days while observing the home health aide present and providing direct patient care for 1 of 1 sampled patients who received hands on personal care services with no skilled service provision.

The agency failed to ensure home health aide supervision was completed with all required components for 2 of 4 sampled patients who received home health aide services (Patients #2 and #4).