Dynamic Home Care, Inc

The agency failed to maintain an emergency preparedness plan centered on both agency-based and community-based risk assessments (See E0006); failed to maintain, review, and update written emergency preparedness policies and procedures that were based on an emergency preparedness plan, risk…

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) program that measures, tracks and analyzes it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the inability to improve patient care with…

The agency failed to ensure effective infection prevention and control measures were utilized (G-682); and failed to document any infection control meeting minutes for 2021, 2022, or 2023 (G-684); resulting in the potential for the development and spread of infections to staff and all patients…

The agency failed to ensure a governing body assumed responsibility for the operation of the agency, the provision of all home health services and its quality assessment and performance improvement program, resulting in a lack of overall leadership in the agency's provision of home health services…

The agency failed to maintain an emergency preparedness plan centered on both agency-based and community-based risk assessments, resulting in a lack of direction and duties for agency personnel in the event of an actual disaster.

The agency failed to maintain, review, or update the written emergency preparedness policies and procedures that were based on an emergency preparedness plan, risk assessment, and communication plan, resulting in the agency's inability to implement appropriate emergency actions.

The agency failed to maintain, review, and update written emergency preparedness policies and procedures to follow up with on-duty staff and patients to determine needed services, in the event there is an interruption in services during or due to an emergency, resulting in the agency's inability to…

The agency failed to maintain, review, and update written emergency preparedness communication plan, resulting in the agency's inability to implement appropriate emergency actions.

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 communication plan, resulting in the agency’s inability to ensure staff actions align with the emergency plan.

The agency failed to conduct exercises to test the emergency plan, resulting in the agency's inability to implement appropriate emergency actions.

The agency failed to provide evidence of its efforts to measure, track and analyze its 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 for unmet care needs.

The agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, to ensure the effectiveness and safety of services and quality of care to the patients and to identify opportunities for improvement, resulting in the potential for ineffective…

The Agency (HHA) failed to initiate any performance improvement activities within their Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for the rendering of substandard care and unmet care needs.

The Agency (HHA) failed to track adverse patient events, analyze their causes, and implement preventative actions within their Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for patient issues to go unresolved and affect all patients served by the agency.

The Agency (HHA) failed to conduct any performance improvement projects within their Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for patient and agency issues to go unresolved and affect all patients served by the agency.

The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all the regulatory requirements of this section, that addressed priorities for improved quality of care and patient safety and was evaluated for…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, and prevention of infections, resulting in the potential development and spread of infections between agency staff and the agency's patients.

The agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the agency's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential spread of…

The home health agency failed to have an active Governing Body that met at least annually, and assumed full legal authority and responsibility for the agency's overall management and operations, all services provided, the fiscal operations, review of the agency's budget and operations plans, and…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status at the time of admission to home care for 2 of 4 (P-3, 4) records reviewed, resulting in incomplete clinical information to aide in determining the needs of the patient and for…

The agency failed to ensure the comprehensive assessment included an accurate review of all medications to determine any duplicate therapy or adverse effects, and failed to ensure the physician was notified of potential drug interactions or duplicate therapy in 2 of 4 (P-1, 3) records reviewed…

The agency failed to ensure the plan of care included appropriate interventions with objectively measurable goals specific to the individualized needs of the patient in 1 of 4 (P-3) records reviewed, resulting in the potential for poor patient outcomes and unmet care needs.

The Agency (HHA) failed to initiate any performance improvement activities within their Quality Assessment Performance Improvement (QAPI) program that focused on high risk, high volume or problem prone areas, resulting in the potential for agency issues to go unresolved in high risk, high volume or…

The agency failed to ensure the clinical record contained completed assessments for 1 of 4 (P-3) records reviewed, resulting in the potential for poor patient outcomes and a lack of information for all agency staff caring for the patient.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 2 of 4 (P-2, 4) discharge records reviewed, resulting in a lack of information to ensure continuity of care.

The agency failed to ensure the comprehensive assessment was an accurate reflection of the patient's health status and included a review of all medications.

The agency failed to provide services as ordered in the plan of care, ensure wound care orders were included on the plan of care, provide services only as ordered by the physician, alert the physician to changes in the patient's condition, coordinate the delivery of care services, and provide…

The agency failed to ensure interdisciplinary assessments of the patient, development of plans of care, and provide services ordered in the plan of care.

The agency failed to ensure the home health aide's competency evaluation addressed each of the subjects listed in paragraph (b)(3)(1), (iii), (ix), (x), and (xi) of this section and completed through observation, the aide's performance of each task, with a patient by a registered nurse prior to…

The Clinical Manager failed to ensure the coordination of patient care services, wound care needs were continually assessed, and the development and implementation of plans of care.

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 1 patient currently serviced by the agency.

The agency failed to provide services as ordered in the plan of care for 4 of 7 (MR# 1, 3, 4 and 6) records reviewed, resulting in the potential for poor patient outcomes, decline in physical functioning, and unmet personal care needs for these two patients.

The agency failed to ensure the home health aide (HHA competency evaluation addressed each of the subjects listed in paragraph (b)(3)(1), (iii), (ix), (x), and (xi) of this section and completed through observation, the aide's performance of each task, with a patient by a registered nurse prior to…

The home health agency failed to ensure the home health aide received 12 hours of in-service training during the year 2020 for 1 of 1 home health aide (Aide-F) providing service, for a potential of an unprepared aide providing services that could negatively affect all patients receiving aide…

The agency failed to ensure the comprehensive assessment included baseline information detailing the status of the patient's wound at the time of admission for 2 of 4 (MR#1, 4) records reviewed in which the patient had a wound, resulting in the potential for poor patient outcomes for these wound…

The agency failed to ensure the comprehensive assessment included a review of all medications to identify any potential adverse effects, drug reactions, or interactions for 2 of 7 (MR# 2, 3) records reviewed, resulting in the potential for harmful medication effects for these patients.

The agency failed to ensure wound care orders were included on the plan of care for 3 of 4 (M.R. #4, 6, and 7) records reviewed with diagnoses of wounds, resulting in the potential for unhealed wounds for all patients with wounds resulting in a possible negative outcome.

The agency failed to ensure services were provided only as ordered by the physician in 2 of 7 (MR# 3, 4) records reviewed, resulting in the potential to negatively affect these two patients.

The registered nurse failed to promptly alert the physician to changes in the patient's condition for 1 of 6 records reviewed (M.R. #6) with skilled nursing services, for unmet medical needs which could negatively affect all 44 patients.

The agency failed to coordinate the delivery of physical therapy, social work, and aide services for 1 of 6 (MR#1) records reviewed in which more than one discipline was ordered to provide care.

The agency failed to ensure the patient was proficient at wound care before being discharged from the agency for 1 of 4 (MR#3) records reviewed in which the patient had a wound, resulting in the potential for a poor outcome for this wound care patient.

The agency failed to ensure the physical therapist and the medical social worker performed initial assessments of the patient's functional status and needs for 1 of 6 (MR# 1) records reviewed in which more than one discipline was ordered to provide care, resulting in a potential decline in physical…

The agency failed to ensure the physical therapist and the medical social worker developed plans of care for 1 of 6 (MR# 1) records reviewed in which more than one discipline was ordered to provide care, resulting in a potential decline in physical functioning and a delay in accessing community…

The agency failed to ensure that physical therapy and medical social work services were provided for 1 of 6 (MR#1) records reviewed in which these services were ordered, resulting in a potential decline in physical functioning and a delay in accessing community resources for this patient.

The agency failed to ensure the aide provided services at the frequency ordered in the plan of care for 1 of 1 (MR#1) record reviewed in which aide services were ordered, resulting in the potential for unmet personal care needs for this patient.

The registered nurse failed to make an annual on-site supervisory visit to the location where the patient was receiving care along with the home health aide to observe and assess the aide while performing care for 1 of 1 home health aide providing care (Aide-F), for a potential of an unqualified…

The Clinical Manager failed to ensure the coordination of patient care services for 1 of 7 (MR#1) records reviewed, resulting in a potential decline in physical functioning, a delay in accessing community resources, and a lack of assistance with personal care needs for this patient.

The Clinical Manager failed to ensure the patient's wound care needs were continually assessed for 1 of 4 (MR#3) records reviewed in which the patient had a wound, resulting in the potential for a poor outcome for this wound care patient.

The Clinical Manager failed to ensure the development and implementation of plans of care for 1 of 7 (MR#1) records reviewed, resulting in a potential decline in physical functioning, a delay in accessing community resources, and a lack of assistance with personal care needs for this one patient.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge for 6 of 6 (MR# 2, 3, 4, 5, 6, and 7) records reviewed in which the patient was discharged from the agency, and failed to ensure a transfer summary was sent to the hospital…

The agency failed to incorporate an individual Emergency Preparedness Plan into the Comprehensive Patient Assessment for 7 of 7 records reviewed for Emergency Preparedness out of a total sample of 7 records reviewed, resulting in the potential for negative patient outcomes.

The agency failed to insure ordered disciplines completed their SOC (start of care) assessments within the agency's expected timeframe of 48 hours for 4 of 7 records reviewed (MR# 2, 4, 6 and 7) out of a total sample of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the plan of care included patient specific measurable goals in 7 of 7 records reviewed (MR#s: 1, 2, 3, 4, 5, 6 and 7) from a total sample of 7 records.