Elara Caring

The home care agency failed to ensure that refusals of care are investigated, and the patient is educated when services are refused, or the patient elects to be discharged from services for 1 of 1 discharge record reviewed, Patient ID #3. Findings are as follows: Review of the record revealed the…

The home care agency failed to effectively coordinate the patient’s care and assure communication with the physician involved in the plan of care for 1 of 2 active clients reviewed, Patient ID #1. Findings are as follows: Review of the record revealed the patient was admitted to services with a…

The home care agency failed to provide services that were ordered by the physician, as indicated in the plan of care, for 1 of 2 active patients reviewed, Patient ID #2. Findings are as follows: Review of the record revealed the patient was admitted to services with a start of care date of…

The agency failed to include all professional services as required, relative to speech-language pathology and medical social services.

The agency failed to ensure individual emergency plans for each client are included as part of the comprehensive assessment, are in writing, and a copy of the individualized emergency plan is in the client's file as well as a copy is given to the client and or their caregiver for 5 of 5 clients who…

The agency failed to provide Initial training in emergency preparedness policies and procedures to all new and existing staff, and individuals providing services under arrangement, as well as volunteers, consistent with their expected roles.

The agency failed to conduct exercises to test the emergency plan annually, participate in a full-scale exercise that is community-based, or conduct a facility-based functional exercise.

The agency failed to ensure that services are written in an individual plan of care which is established, reviewed and signed by a doctor for 1 of 13 clients reviewed, ID #3. Findings are as follows: Record review for Client ID #3 revealed a start of care (SOC) dated 12/9/2023 and an initial…

The agency failed to provide the client and caregiver with a copy of written instructions outlining the plan of care to ensure that clients and families understand what services to expect from the HHA, the purpose of each service and when to expect the services, for 5 of 5 clients who were observed…

The agency failed to ensure that a Registered Nurse or Rehabilitation Skilled Professional conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of the referral for 1 of 9 records reviewed, ID #14. Review of the record for Client ID…

The agency failed to ensure the patient's clinical record identified all medications that the patient is taking (both prescription and non-prescription) as well as the time of medication administration and route for 5 of 5 clients who received a surveyor home visit, ID#'s 1, 2, 3, 7 and 8, and 1 of…

The agency failed to provide education and training to the client's caregiver relative to dressing changes for 1 of 1 client (ID# 3) who's caregiver provides wound care.

The agency failed to conform with the physician orders for home health aide services, occupational therapy, physical therapy, and skilled nursing services, for 10 of 13 client records reviewed, Client ID #s 1, 2, 3, 4, 5, 7, 8, 11,12 and 13. Findings are as follows: 1. Review of the record for…

The agency failed to ensure that communication is facilitated with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care for 1 of 1 client reviewed with an inhaler medication and cardiology visit, Client ID #6. Review of…

The Home Health Agency (HHA) failed to complete a wound assessment, within 48 hours of returning home following hospitalization, for 1 of 1 patients reviewed, ID #1. Findings are as follows: Patient #1 has a Stage III left ischial pressure wound and a right Stage IV ischial pressure wound.

The Home Health Agency (HHA) and staff failed to comply with accepted professional standards and principles regarding measurement of pressure wounds for 2 of 5 patients reviewed with pressure wounds, ID#s 1 and 5. Findings are as follows: The National Pressure Ulcer Advisory Panel's Treatment of…