E & V Health Care Inc

The agency failed to provide infection control in 1 out of 3 Sampled Patient's (SP) during home visits.

The Home Health Agency Staff C LPN failed to be in accordance with current clinical practice to prevent a needle stick, by not using the scoop method on a counter surface to prevent a needle stick after giving an insulin injection with a pen needle.

The home health agency is unable to demonstrate a completed termination summary including the reason for admission to home health agency services, the type of service and frequency, Patient's outcomes in meeting the goals in the plan of care for 2 out of 5 Sampled Patients (SP).

The home health agency is unable to demonstrate a completed discharge summary for 2 out of 10 Sampled Patients (SP).

The home health agency staff failed to provide service in accordance with accepted professional standards of practice for 3 out of 4 Sampled Patients(SP) with home visits made.

The Home Health Agency failed to honor 1 out 3 Sampled Patients (SP)'s rights by not providing care as ordered by the physician.

The Home Health Agency failed to notify the physician of a review and revision of the Plan of Care (POC) for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that written patient care instructions for the Home Health Aide (HHA) was complete for 1 out 3 Sampled Patients (SP) reviewed.

The Home Health Agency failed to provide to 3 out of 3 Sampled Patients (SP) and the patients' legal representatives all required information during the initial evaluation visit, in advance of furnishing care.

The Home Health Agency failed to demonstrate that written notice of the patient's rights and responsibilities, and the Home Health Agency's transfer and discharge policies were provided to 3 out of 3 Sampled Patients (SP).

The Home Health Agency failed to demonstrate that the OASIS (Outcome and Assessment Information Set) Privacy Notice for whom the OASIS data is collected at the time of the initial evaluation visit was provided to 3 out of 3 Sampled Patients (SP).

The Home Health Agency failed to demonstrate it obtained the patient's or legal representative's signature confirming that she has received a copy of the notice of rights and responsibilities for 2 out of 3 Sampled Patients (SP).

The Home Health Agency failed to demonstrate that 1 out of 3 Sampled Patients (SP): participated in, was informed about, and consented or refused care in advance of and during treatment of the care to be furnished, the disciplines that will furnish the care, and the frequency of visits for 1 out of…

2 out 3 Sampled Patients (SP) did not receive all services outlined in the Plan of Care (POC).

The Home Health Agency failed to advise 3 out of 3 Sampled Patients (SP): (i) The extent to which payment for Home Health Aide (HHA) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA; (ii) The charges for services that may not be…

The Home Health Agency failed to provide an advance notice of discharge in advance of the Home Health Agency reducing or terminating on-going care to 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to coordinate care delivery for 2 out 3 Sampled Patients (SP).

The Home Health Agency failed to provide the visit schedule, including frequency of visits by the Home Health Agency personnel and personnel acting on behalf of the Home Health Agency to 3 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that Skilled Nurses provided service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 3 Sampled Patients (SP).

The Home Health Agency's staff failed to prepare/record notes and failed to describe the care provided to 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that onsite Registered Nurse (RN) supervisory visits were conducted to evaluate the care rendered by the Home Health Aide (HHA) at a minimum of every 2 weeks for 1 out of 3 Sampled Patients (SP) receiving skilled services and Home Health Aide Services.

The Home Health Agency failed to ensure the clinical record contained all admission documents and consent forms for 1 out of 3 Sampled Patients (SP).

The provider failed to ensure its emergency preparedness plan included a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach the required elements.

The provider failed to ensure its emergency preparedness plan included persons at-risk; the type of services the facility has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.

The provider failed to ensure its emergency preparedness plan included a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials', and documentation of the facility's efforts to contact such officials and, when applicable, of its…

The provider failed to ensure its emergency preparedness plan included risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section.

The provider failed to ensure its emergency preparedness plan included procedures to inform State and local emergency preparedness officials about homebound home health patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and…

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency.

The provider failed to ensure its emergency preparedness plan included use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The provider failed to ensure its emergency preparedness plan included a communication plan.

The provider failed to ensure its emergency preparedness plan included a primary and alternate means for communicating with facility staff, Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to ensure its emergency preparedness plan included a method for sharing information and medical documentation for patients under the facility's care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to ensure its emergency preparedness plan included a means of providing information about the facility's occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency plan.

The provider failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role.

The provider failed to conduct training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role; the provider failed to participate in a full-scale exercise that is…

The provider failed to ensure that at least one of the qualifying services is provided directly through agency employees.