Extended Family Home Health Inc
Inspection 2018-05-03
· Recertification · 26 deficiencies · CMS source report (PDF)The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care, the…
Show inspector's text
Loading…
The agency failed to develop and implement emergency preparedness policies and procedures that addressed the notification of State and local officials of any on-duty staff they are unable to contact during an emergency.
Show inspector's text
Loading…
The agency failed to develop and implement emergency preparedness policies and procedures that addressed the utilization of volunteers during an emergency.
Show inspector's text
Loading…
The agency failed to develop and implement an emergency preparedness communication plan that included a list of names and contact information of entities providing services under arrangement and volunteers utilized during an emergency.
Show inspector's text
Loading…
The agency failed to develop an emergency preparedness plan training program that included initial training in emergency preparedness policies and procedures to all new and existing staff, maintained documentation of all emergency preparedness training, and demonstrated staff knowledge of emergency…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…
Show inspector's text
Loading…
The agency failed to provide infection control education to staff in, but not limited to, two (Employees: E2 and E5) of five employee files reviewed.
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the administrator's name and contact information in order to receive patient complaints.
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the right to participate in, be informed about, and consent or refuse care in advance of and during treatment, with respect to: - The…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of financial liability changes as soon as possible, in advance of the next home health visit.
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the names, addresses, and telephone numbers of the following Federally-funded and state…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be informed of the right to access auxiliary aids and language services and how to access these services.
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for discharge for cause.
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the agency…
Show inspector's text
Loading…
The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of…
Show inspector's text
Loading…
The agency failed to ensure the patient's strengths, goals, and care preferences, including information that may be used to demonstrate the patient's progress toward achievement of the goals identified by the patient were assessed/documented as part of the patient's comprehensive assessment in, but…
Show inspector's text
Loading…
The agency failed to ensure the registered nurse (RN) performed an accurate and complete review/update of all medications the patient was currently using in, but not limited to, three (Records/Patients #1, #2, and #3) of five cases reviewed.
Show inspector's text
Loading…
The agency failed to ensure the patient's plan of care contained all required elements including, but not limited to, functional limitations, activities permitted, and patient-specific interventions including measurable outcomes and goals identified by the patient in, but not limited to, three…
Show inspector's text
Loading…
The agency failed to ensure verbal orders in the patient's clinical record included a time of receipt as required by agency policy and new federal regulations effective January 13, 2018. This deficient practice occurred in, but not limited to, four (Records/Patients #1, #2, #3, and #4) of five…
Show inspector's text
Loading…
The agency failed to provide the name and contact information for the agency's clinical manager to all patients admitted to service after January 13, 2018 when this regulation became effective.
Show inspector's text
Loading…
The agency failed to ensure services were provided in accordance to the patient's plan of care in, but not limited to, one (Record/Patient #1) of five cases reviewed.
Show inspector's text
Loading…
The agency failed to ensure staff received the required home health agency sponsored in-service training in, but not limited to, two (Employees: E2 and E5) of five employee files reviewed.
Show inspector's text
Loading…
The agency failed to ensure physical therapy assistant (PTA) services were provided under the supervision of the physical therapist (PT) in, but not limited to, two (Records/Patients #1 and #3) of three applicable cases reviewed.
Show inspector's text
Loading…
The agency failed to: - Ensure contracted staff had a criminal background check performed in, but not limited to, two (Employees: E2 and E4) of five employee files reviewed; and - Ensure staff used appropriate bag technique during home visits to prevent contamination and spread of infectious…
Show inspector's text
Loading…