Excellent Home Health Care, LLC

The agency failed to develop emergency preparedness policies and procedures which addressed the use of volunteers in an emergency.

The agency failed to ensure the Home Health Aide (HHA) is supervised every 14 days by the registered nurse (RN) for 2(Patient #1 and Patient #7) of 2 patients (Patient #1 and Patient #7) receiving Home Health Aide services in a total sample of 7 patients.

The agency failed to ensure a registered nurse(RN) assessed and measured pressure ulcers and wounds weekly for 1 (Patient #2) of 2 (Patient #2 and Patient #6) patients records reviewed for pressure ulcers and wounds in a sample of 7 patients.

The agency failed to ensure every patient had individualized emergency disaster plans for 7 of 7 patients (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, and Patient #7) reviewed for individualized disaster plans.

The agency failed to ensure the agency field staff were being screened for signs and symptoms of COVID-19 prior to performing home visits for patients for 7 of 10 agency employees (S4LPN (Licensed Practical Nurse), S5Physical Therapist, S6Physical Therapy Assistant, S7Speech Therapist…

The agency failed to ensure the registered nurse or therapist provided the home health aide (HHA) with written patient instructions prior to the HHA providing care to the patient for 2 of 2 sampled patients (Patient #3 and Patient #4) reviewed for HHA care plans in a total sample of 7 patients.

The agency failed to ensure the agency had an accurate list of medication taken by the patients for 3 of 3 sampled patients (Patient #1, Patient #2, and Patient #3) reviewed for medication reconciliation during home visits in a total sample of 7. Findings: Patient #1 Review of Patient #1's Home…

The agency failed to ensure each patient's individualized plan of care contained all pertinent diagnoses and the frequency and duration of visits to be conducted for 5 of 7 sampled patients (Patient #1, Patient #2, Patient #3, Patient #4, and Patient #7) reviewed for plans of care.

The agency failed to have an individualized emergency plan for 6 (Patient #1 Patient #2, Patient #3, Patient #4, Patient #6 and Patient #7) of 7 (Patient #1, Patient #2, Patient #3, Patient #4,Patient #5, Patient #6 and Patient #7) sampled patients as evidenced by not having documentation of an…

The agency failed to ensure the Home Health Aide (HHA) followed the written plan of care for 1(Patient #6) of 7 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6 and Patient #7) as evidenced by not providing HHA hours as ordered.

The agency failed to have a current plan of care reviewed by the physician at least once every 60 days for 2 (Patient #1, and Patient #4) of 7 (Patient #1- Patient #7) sampled patients reviewed as evidenced by the agency failing to have patients' plans of care signed by the physician showing the…

The Agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable disease and failed to have an infection control program be an integral part of the Home Health Agency's QAPI (Quality…

The agency failed to ensure that the Registered Nurse prepared written patient instructions for the home health aide for 2 (Patient #3, Patient #4) of 4 (Patient #2, Patient # 3, Patient # 4, Patient #6) patients receiving home health aide services out of a total sample of 7 as evidenced by no…

The agency failed to ensure staff conducted reviews of all medications the patient was currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and…