Extended Health Care, Inc.

The home health agency failed to provide care and services identified in the physician's plan of care for one of six patients (Patient 5).

The home health agency (HHA) failed to ensure the policy and procedure for (COVID-19) (highly contagious respiratory disease caused by a virus that can spread from person to person) was followed and implemented.

No findings

The home health agency (HHA) failed to ensure its governing body assumed full legal authority and responsibility for the operation of the agency for three of six sampled patients (Patient 1, 2, and 6).

No findings

No findings

No findings

The home health agency failed to promptly notify the physician by failing to: Ensure physician was notified of Patients 1 and 2's significant change of condition that resulted to patients' admission to the general acute hospital (GACH).

The home health agency failed to educate Patient 5 on the correct use of her portable oxygen tank.

The home health agency failed to maintain its responsibilities for policies and procedures implemented in the agency's branch, how and when management and direct care staff were shared between the parent and branch, particularly in the event of staffing shortfalls or leave coverage, and human…

The facility failed to ensure the Outcome and Assessment Information Set (OASIS) transmitted to the Centers for Medicare & Medicaid Services (CMS) were accurate and reflected the status of the patients at the time of the assessment, one of four sampled patients (Patient 1).

The home health agency failed to ensure that one of four sampled patients (Patient 1) had an adequate supply of tracheostomy tubes (a tube inserted into the windpipe to help a person breathe).

The HHA failed to furnish treatment/care for one of 4 sampled patients.

The home health agency failed to ensure that a qualified Administrator and Administrator Designee were hired to oversee the day to day operations of the agency.

The Home Health Agency (HHA) failed to ensure that the Condition of Participation for Skilled Professional Services was met as follows: 1. The home health agency failed to ensure that Licensed Vocational Nurse (LVN 3 and LVN 9), had an updated training for the management of patients on oxygen and…

The Home Health Agency (HHA) failed to review and update their policy and procedure for emergency preparedness.

The home health agency (HHA) failed to implement COVID-19 (highly contagious respiratory disease caused by a virus that can spread from person to person) vaccination policy and procedure for six of 16 employees (RN 1, LVN 4, LVN 5, LVN 6, LVN 7, and LVN 8).

The home health agency (HHA) failed to ensure that Licensed Vocational Nurse (LVN 3 and LVN 9) had an updated training for the management of patients on oxygen and tracheostomy (a surgical opening created through the neck into the trachea (windpipe) to allow direct access to the breathing tube)…

The home health agency (HHA) failed to employ Certified Home Health Aid (CHHA) as indicated in their HHA license.

The home health agency (HHA) failed to maintain an accurate, current medication profile for one of seven patients (Patients 4).

The home health agency (HHA) failed to obtain a physician order for the administration of 250 milliliters (ml – unit of measurement) of water to the gastrostomy tube (g-tube: tube inserted to the belly that brings nutrition directly to the stomach) for one of seven patients (Patients 4).

The home health agency (HHA) failed to ensure that the plan of care (POC) included parameters for oxygen levels and significant oxygen results to be coordinated to the physician for one of seven sampled patients (Patient 7).

The home health agency failed to ensure 7 of 14 staffs (RN 1, LVN 1, LVN2, LVN3, LVN4, LVN5, and LVN 6) maintained valid CPR cards.