Excelacare Home Health

The home health agency (HHA) failed to implement an effective discharge planning process to reduce factors that can lead to preventable readmissions for one of one patient (Patient (P) 10) discharged from physical therapy services during an observed home visit from a total of four home visits.

The facility failed to ensure services were provided as established in the written care of plan for one of 10 (Patient (P)1) sampled patients.

The home health agency (HHA) failed to analyze adverse patient events (hospitalization) that would enable the HHA to assess processes of care, HHA services, and operations.

The home health agency (HHA) failed to utilize data collected to monitor the effectiveness and safety of services and quality of care and identify opportunities for improvement.

The home health agency (HHA) failed to ensure accepted standards of practice to prevent the transmission of infections and communicable diseases were implemented during home visits for two of four patients (Patient (P) 7 and P8) who were observed during home visits out of a total sample of 10. This…

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 ensure the agency's grievance policy included the removal of an employee from direct patient care when involved in an abuse allegation until an investigation was complete.

The home health agency (HHA) failed to ensure the registered nurse (RN) conducted the patient's initial assessment within 48 hours of the referral from the physician for two of 10 patients (Patient (P) 7, P9) whose records were reviewed for the start of care initial assessment from a total sample…

The home health agency (HHA) failed to ensure the patient's plan of care (POC) included patient-specific goals with measurable outcomes for 10 (Patient (P) 1, P2, P3, P4, P5, P6, P7, P8, P9, P10) of 10 sampled patients.

The home health agency (HHA) failed to ensure home health services were provided as ordered for five of 10 sampled patients (Patient (P) 6, P7, P8, P9, P10).

The home health agency (HHA) failed to ensure there was documentation of coordination of care among all disciplines providing patient care for two of 10 patients (Patient (P) 7 and P8) reviewed for coordination of care out of a total sample of 10. This deficient practice had the potential to affect…

The home health agency (HHA) failed to ensure medications in the patient's home were the same medications listed on the patient's medication profile developed and placed in the electronic medical record (EMR) for two of three patients (Patient (P) 7 and P8) whose medications were reviewed during…

The facility failed to ensure four of five staff files reviewed had received annual abuse training.

The home health agency (HHA) failed to ensure the Registered Nurse (RN) monitored and evaluated the Licensed Practical Nurse's (LPN) performance in the provision of services for one of four patients (Patient (P) 7) observed during home visits out of a total sample of 10. LPN2 obtained a verbal…

G682 Based on observation, staff interview, and review of agency policies and procedures, the agency failed to ensure the Skilled Nurse (SN) performed wound care with appropriate hand hygiene and glove changes for one of one observation of wound care (Patient (P) 1).

G710 Based on observation, record review, staff interview, and review of the agency's policies and procedures, the agency failed to ensure the Skilled Nurse (SN) followed the plan of care as ordered for one of ten patients sampled (Patient (P)1).