Faithful Friends Home Healthcare Inc

The home health agency failed to ensure OASIS transmissions were submitted on time for 1 of 1 agency.

The agency failed to provide the physician-ordered services per the POC for 2 of 3 active patients who received HHA, attendant care, and homemaker services (Patients #2 and 3).

The agency failed to ensure the POC included patient- specific and measurable goals for 6 of 6 active patients (Patients #1, 2, 3, 4, 5, and 6).

The agency failed to ensure supervisory visits for HHAs occurred every 14 days for 1 of 4 active patients who received HHA services (Patient #2).

The home health agency failed to protect the confidentiality for 1 of 4 clinical records reviewed (Patient #4).

The agency failed to notify family members of changes in patient health or current needs in 1 of 4 active patient records reviewed (Patient #1).

The agency failed to ensure potential or actual conflicts of interest and oversight of staff who were engaged in dual roles with patients and followed accepted standards regarding boundaries and agency policies regarding conflicts of interest and ethics in 2 of 4 active records reviewed (Patients…

The agency failed to ensure the skilled nurse visit assessments accurately reflected the patient status in 1 of 3 home visit patient observations of patients with physician orders and received skilled nurse services (Patient #9).

The agency failed to ensure Home Health Aide (HHA) bed baths were completed in a manner consistent with aide training in 1 of 1 patient observed who received a bed bath (Patient #9).

The agency failed to submit OASIS (outcome and assessment information set) within 30 days of assessment completion for 1 of 5 skilled records requiring OASIS submissions (#5).

The agency failed to ensure all quality assurance performance improvement (QAPI) data was aggregated and analyzed to identify opportunities for improvement and monitor the effectiveness and quality of care for 1 of 1 agency.

The agency failed to ensure all staff followed standard precautions and infection control policies for 3 of 3 observations (employees F, G, H) for 2 of 2 patients observed (#1, 2).

The home health agency failed to ensure all home health aide (HHA) employee files evidenced 12 hours of completed inservices for 1 of 5 HHA employee files reviewed (D).

The agency failed to ensure the Registered Nurse (RN) ensured the home health aide (HHA) care plan was individualized with specific timeframe's the tasks were to be completed for 4 of 5 complete records reviewed with HHA services (#1, 2, 5, 6).

The agency failed to ensure complaints received were thoroughly investigated / documented, and that the agency policy described how the investigation was to be completed for 4 of 4 complaints reviewed for patient records (#1, 5, 8, 9).

The comprehensive assessment failed to contain all information about the current health status for 7 of 7 complete records reviewed (#1, 2, 3, 4, 5, 6, 7).

The agency failed to ensure comprehensive assessment contained individual patient goals, strengths, and care preferences identified by the patient for 3 of 7 complete records reviewed (#1, 3, 6).

The agency failed to ensure the comprehensive assessment addressed the discharge planning needs for 3 of 7 complete records reviewed (#3, 4, 7).

The agency failed to ensure the comprehensive assessment contained a complete review of medications the patient was taking to ensure medication lists were accurately maintained for 1 of 7 complete records reviewed (#2).

The agency failed to ensure the comprehensive assessment contained detailed information regarding the patient's primary caregiver for 5 of 7 complete records reviewed (#1, 3, 4, 6, 7).

The agency failed to ensure the plan of care (POC) included all measurable goals based on the needs of the comprehensive assessment, all durable medical equipment (DME), diagnoses, education including frequency of, and skilled nurse interventions for 7 of 7 complete records reviewed (#1, 2, 3, 4…

The agency failed to ensure the registered nurse (RN) followed the plan of care for 3 of 7 complete records reviewed (#2, 3, 5).

The agency failed to ensure the home health aide (HHA) completed visits in accordance with the plan of care (POC) orders for frequency for 2 of 5 complete records reviewed with HHA services (#2, 6).

The agency failed to ensure a written agreement was in place with other agencies providing care in the home for 1 of 1 shared agency patients reviewed (#7).