Epeople Healthcare Inc.

The agency failed to ensure one (1) of one (1) employees met the qualifications for administrator under Pennsylvania state licensure regulations.

The agency failed to ensure the patient rights forms included notification that the contact formation for administrator was provided in order for the administrator to receive complaints for two (2) of two (2) patients (clients)/responsible parties for whom the agency admission folder was available…

The administrator failed to ensure written information/instructions regarding the patient's right to access auxiliary aids (accessible web sites, assistive aids identified in the American's with Disabilities Act) and language services, and the means/processes to access those services were provided…

The agency failed to ensure documentation was maintained in the personnel file which provided evidence that one (1) of two (2) registered nurses (RN) completed an annual tracheostomy (surgically created airway in the front of the neck) hands-on skills demonstration.

The agency failed to ensure failed to the ensure the patient's responsible party signed the "Patient Agreement Form" prior to the initiation of home health services (434); and the agency failed to ensure the "Admission Booklet"/patient rights forms included the following: the contact information…

Chapter 601, and based on interview with a registered nurse (RN-employee #10), a licensed practical nurse (employee #14), the administrator/clinical manager, operations manager and the regional clinical director, the governing body failed to ensure documentation was maintained that skilled nursing…

The facility failed to ensure the emergency preparedness plan included a completed "Hazard Vulnerability Assessment".

The facility failed to ensure the emergency preparedness plan included the names and contact information for agency staff.

The facility failed to ensure the emergency preparedness plan included the contact information for local/regional (county) emergency management agencies.

The agency failed to ensure a registered nurse (RN) performed a skills competency evaluation prior to the assignment of two (2) of two (2) home health aides to provide home health aide services.

Chapter 601, and based on interview with a registered nurse (RN-employee #10), a licensed practical nurse (employee #14), the administrator/clinical manager, operations manager and the regional clinical director, the governing body failed to ensure documentation was maintained that five (5) of six…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included the contact information (name, business address and telephone number) for the administrator, in order to receive complaints, for two (2) of two (2) patients whose admission booklet was available for review…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of the right to be free from injuries of unknown source, neglect and misappropriation of property for two (2) of two (2) patients whose admission booklet was available for review during a home…

The agency failed to the ensure the patient's responsible party signed the "Patient Agreement Form" prior to the initiation of home health services for one (1) of three (3) patients whose payor source was a school district.

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of the right to receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included the contact information protection/advocacy agencies for children for two (2) of two (2) patients whose admission booklet was available for review during a home visit and whose start of care date was after…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of the right to access auxiliary aids (accessible web sites, assistive aids identified in the American's with Disabilities Act) and language services and how to access these services for two (2) of…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of that the agency may only transfer or discharge a patient if the transfer or discharge is necessary for the patient's welfare because the HHA (home health agency) and the physician (who is…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of that the agency may only transfer or discharge a patient if the patient or payer will no longer pay for the services provided by the HHA (home health agency) for two (2) of two (2) patients…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included notification of that the agency may only transfer or discharge a patient if the transfer or discharge is appropriate because the physician who is responsible for the home health plan of care and the HHA (home…

The agency failed to ensure the agency "Admission Booklet"/patient rights forms included the name and contact information for the clinical manager for two (2) of two (2) patients whose admission booklet was available for review during a home visit and whose start of care date was after January 13…

The agency failed to ensure a registered nurse (RN) performed an annual on-site visit, to the location where a patient is receiving care, to observe and assess two (2) of two (2) home health aides while the aides were providing care.

Chapter 601, and based on interview with a registered nurse (RN-employee #10), the administrator/clinical manager, operations manager and the regional clinical director, the administrator failed to ensure a similarly qualified alternate to supervising RN (clinical manager) was available during the…

The administrator failed to ensure documentation was maintained in the personnel file that a passing grade on the tracheostomy examination was attained and/or that a hands-on skills competency demonstration was completed for five (5) of six (6) nursing staff who assessed/monitored tracheostomy…