Elite Home Health Care, LLC

The agency failed to ensure completion of an updated all-hazards risk assessment on which to base their Emergency Preparedness Plan.

The agency failed to ensure the staff emergency contact information was reviewed and updated as needed at least every two years.

The agency failed to ensure Physical Therapy (PT) services were initiated as ordered by the provider for three of four patient records that included PT orders (Patient (P)4, P5, and P8).

The Home Health Agency (HHA) failed to ensure its policy regarding the use of Personal Protective Equipment (PPE) was followed during one of three patient (Patient (P)1) home visits.

The Home Health Agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based electronic medical record (EMR).

The Home Health Agency (HHA) failed to review patient medications during home visits, notify the physician of any changes, or update the medication list for one of three patients (Patient (P)1) for whom home visits were completed.

The facility failed to maintain accurate clinical records adhering to current standards of practice for 8 of 11 patients (P)1, P2, P4, P5, P8, P9, P10 and P11).

The facility failed to electronically submit completed OASIS assessments within 30 days after completion of the assessment during the first three months of 2019 for 20 of 47 reviewed submissions.

The agency failed to demonstrate the presence of a comprehensive performance improvement program that included projects undertaken, rationale for initiating these projects and evidence of measurable outcome goals.

The Home Health Agency (HHA) failed to include the patient's current comprehensive assessment and Plan of Care (POC) for two of 11 patients (P)1 and P2).

The facility failed to safeguard the patient's personal health information (PHI), to prevent the risk of loss of PHI information or unauthorized access to the PHI information.

The agency's Professional Nurse failed to ensure clinical notes of 10 of the 11 sampled patients (P)1, P2, P3, P4, P5, P6, P8, P9, P10 and P11) were entered into the electronic health record (EHR) accurately, dated and authenticated, in accordance with accepted clinical standards.

The agency failed to ensure skilled professional visits for one of the 11 sampled patients (P)2 who received Home Health Aide (HHA) services.

The facility failed to complete a recertification comprehensive assessment and update a Plan of Care (POC) for two of 11 patients (P)1 and P2).

The facility failed to document clinical visit notes that would have included nursing interventions and the patient's response to those interventions for six of 11 patients (Patients (P)4, P5, P8, P9, P10 and P11).