Family First Home Care, LLC

The Agency failed to ensure the registered nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status in 3 records, from a total of 10 records reviewed (MR #6, 7 and 9), resulting in the potential for…

The Agency failed to ensure skilled nursing, occupational therapy, social work, and physical therapy services were provided as ordered by the physician for 3 of 10 (MR# 6, 7, and 8) records reviewed and failed to provide the frequency of services ordered by the physician in 3 of 10 (MR# 8, 9 and…

The agency failed to document baseline data for future assessments, in 3 of 10 records (MR# 3, 4, and 5) out of a total of 10 records reviewed, resulting in the potential for unmet care needs.

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 4 of 10 records reviewed (M.R.#s 1, 2, 4, 5), resulting in the potential for a plan of care not meeting the patient's needs.

The Agency failed to ensure the Registered Nurse (RN) prepared complete written instructions for patient safety needs in 2 of 2 records in which aide services were provided (MR# 9 and 10), from a total of 10 records reviewed, resulting in the potential for unsafe, substandard care and unmet care…

The agency failed to ensure the registered nurse conducted the initial assessment visit within 48 hours of referral to determine the immediate care needs of the patient, including homebound status, for 3 of 10 (MR# 6, 7, and 9 ) records reviewed in which Skilled Nursing services were ordered…

Failed to document the patient's past medical history with dates of onset, exacerbations, treatments and outcomes, baseline data, and what happened to require admission to home health services.

The agency failed to ensure the registered nurse performed a complete and accurate review of the medications the patient was taking at the time of the comprehensive assessments in 1 out of 3 records reviewed in which a surveyor home visit was conducted (MR# 6), which resulted in the potential for…

The Home Health Agency (HHA) failed to ensure individualized interventions and parameters were documented on the plan of care (POC) for 4 of 10 records reviewed (MR's 1, 2, 4 and 5), resulting in the potential for negative patient outcomes.

The Agency (HHA) failed to ensure all patient skilled nursing intervention orders were recorded in the plan of care (POC) in 1 record (MR# 8) of 10 sampled records reviewed, resulting in a lack of physician oversight and input regarding the patient's plan of care and the potential for services not…

The agency failed to ensure that skilled nursing, occupational therapy, social work, and physical therapy services were provided as ordered by the physician for 3 of 10 (MR# 6, 7, and 8) records reviewed and failed to provide the frequency of services ordered by the physician in 3 of 10 (MR# 8, 9…

The agency failed to ensure the RN (registered nurse) supervised the care provided by the LPN (licensed practical nurse) in 1 of 7 records reviewed in which LPN services were provided for more than 30 days (MR# 9), from a total sample of 10 records reviewed, resulting in a lack of clinical…

The agency failed to ensure the initial assessment visit was conducted within 48 hours of the referral for two of seventeen records reviewed (MR#s 5 and 7), resulting in the delay of nursing services; a delay in determining the patient's immediate care and support needs, and the potential for…

The agency failed to ensure the plan of care included safety precautions; reportable parameters; appropriate frequencies and duration; specific individualized interventions based on the patients initial assessment; and objectively measurable goals and outcomes in 12 of 17 records reviewed (MR#s 1…

The Home Health Agency (HHA) failed to develop a Quality Assessment Performance Improvement (QAPI) policy and program that developed indicators that measured, analyzed and tracked it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the…

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in one of two sampled records reviewed in which the patient had dementia or cognitive impairment (MR#7) resulting in the potential for undisclosed services being provided.

The Agency (HHA) failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status, past medical history, history of events leading to home care, objective baseline data for future assessments, and ascertained the patient's immediate care…

The agency failed to ensure that the comprehensive assessment is updated and revised appropriately in 1 of 3 records reviewed (MR# 2), in which the patient had been transferred to an inpatient facility, resulting in the lack of information of the status and reason the patient was transferred.

The agency failed to provide the patient with written instruction related to the plan of care initially, and on an ongoing basis in 3 of 7 home visits (MR#s 3, 4, 5) as required per agency policy.

The Agency (HHA) failed to measure, track and analyze its quality indicators to assess processes of care and services, resulting in the inability to determine the scope of services provided.

The Home Health Agency (HHA) failed to develop a Performance Improvement Plan/activities, as part of the agency's Quality Assessment Performance Improvement (QAPI) program to track the adverse patient events, analyze the cause, and implement preventive actions/interventions, resulting in the…

The Home Health Agency (HHA) failed to develop a QAPI Quality Assessment Performance Improvement (QAPI) program that document the quality improvement projects, the reasons for conducting these projects and the measurable progress achieved on these projects, resulting in the agency's inability to…

The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clearly written patient care instructions and included safety precautions, in 6 of 6 records in which Home Health Aide (HHa) services were provided (MR#s 5, 7, 9, 12, 14, and 15) resulting in the potential for the provision of…

The agency failed to inform the patient/caregiver before care was initiated of the extent to which payment for home health agency services may be expected from Medicare or other insurance sources and the extent to which payment may be required from the patient in 4 of 17 sampled records reviewed…

The agency failed to inform the patient of proper written notice, in advance of the HHA reducing or terminating on-going care in 3 of 5 sampled discharged records reviewed (MR#14, 15, and 17), resulting in the patient not having a right to dispute the end of their Medicare covered services.

The Home Health Agency (HHA) failed to inform their patients of the names, addresses and phone numbers of the Federally-funded and state funded entities, in the areas where their patients resides for 107 of 107 active patients, resulting in failure to maintain the patients' informational rights and…

The agency failed to document complaints and resolutions to complaints lodged by patients/caregivers receiving care from the agency in 2016, 2017 and the first 2 quarters of 2018, and in one of one sampled record reviewed (MR#7) in which the skilled professional documented a complaint by the…

The agency failed to ensure the initial assessment visit was conducted within 48 hours of the referral for two of seventeen records reviewed (MR#s 5 and 7), resulting in the delay of nursing services; a delay in determining the patient's immediate care and support needs, and the potential for…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine major drug interactions, any adverse effects, failed to document the findings of the drug regimen review as required, and failed to ensure the physician was notified of potential drug…

The agency failed to conduct a resumption of care (ROC) assessment within 48 hours of the patient's discharge from inpatient setting and failed to assess the patient's updated needs incurred from the hospitalization in 1 of 3 records reviewed (MR#s 1 and 2) in which a patient was transferred to and…

The agency failed to ensure the plan of care included safety precautions; reportable parameters; appropriate frequencies and duration; specific individualized interventions based on the patients initial assessment; and objectively measurable goals and outcomes in 12 of 17 records reviewed (MR#s 1…

The agency failed to ensure all patient care orders, including verbal orders, were recorded in the plan of care (POC) for Skilled Nursing (SN), Physical Therapy (PT), Occupational Therapy (OT), Medical Social Work (MSW), Speech Therapy (ST), and Home Health aide (HHa) services in 7 of 7 records…

The agency failed to ensure agency staff performed interventions only as ordered by the physician in 1 of 17 records reviewed (MR# 7), resulting in the provision of inappropriate care and services, potentially resulting in placing the patients' health at risk and the provision of inappropriate care…

The agency failed to ensure the physical therapist performed complete assessments and re-assessments of the patient's health status in 1 of 3 records (MR#2) in which Physical Therapy (PT) services was provided for a patient who had a resumption of care after transfer to the hospital, resulting in a…

\Based on record review and interview, it was determined the Home Health Agency (HHA) failed to ensure nursing services and speech therapy services were provided as ordered by the physician and according to the plan of care for 3 of 17 records reviewed with nursing services (M.R. #8, 11 and 13)…

The agency failed to ensure clinicians documented clear, complete, and timely clinical notes in 2 of 12 records reviewed (MR#s 3 and 4) in which Occupational Therapy was providing services, resulting in lack of documentation of the OT care provided, coordination of services, and documentation of…

The registered nurse failed to supervise the services provided by the Licensed Practical Nurse (LPN) every 30 days for 4 of 4 records reviewed with LPN services (MR#s 7, 8, 14 and 15), resulting in failure of the LPN to provide services as ordered by the physician and unmet care needs.

The Agency (HHA) failed to ensure the discharge and transfer summaries were complete, provided the patient's current health status at the time of discharge/transfer, progress toward goals, and forwarded to the physician in 5 of 6 closed/discharged (MR#s 7, 10, 14, 15, and 17), and 2 of 4 transfer…