Ct Hospice Inc the

The Home Health Agency was not in compliance with the Medicare participatory requirements as defined in the Social Security Act Section §1861, by failing to be primarily engaged in providing skilled nursing services and other therapeutic services.

The agency failed to develop, implement, evaluate and maintain an ongoing home health agency specific data driven quality assessment and performance improvement (QAPI) program.

The governing body failed to ensure an ongoing home health agency QAPI program that included adequate data collection for representation of the agency services, organizational structure and functions, for agency quality improvement as it relates to quality of care and patient safety.

The agency failed to ensure the plan of care addressed the patient's needs.

The agency failed to complete quarterly record reviews with agency health professionals’ input and participation.

The agency failed to ensure weekly wound measurements were obtained and documented in accordance with the agency policy, and further identified for one of two patients (Patient#6) who required home health aide services, the home health agency failed to ensure supervision of the home health aides…

The agency registered nurse/RN failed to write instructions for the home health aides on the use of the stair glide lift in the patient's home, and failed to specify the extent of participation from the home health aide in the operation of the stair glide lift.

The agency nurse failed to ensure the patient's plan of care addressed the stair glide lift as a mode of transfer and/or mobilization in the patient's home.

The agency registered nurse/RN failed to include in the initial nursing assessment, the updated nursing assessment and the patient's plan of care, the patient's use of the stair glide lift as a mode of transfer and/or mobilization in the home.

The agency home health aide failed to adhere to the specific instructions from the Registered Nurse/RN in the patient's plan of care.