Fatima Home Care

This CONDITION is not met as evidence by: Based on interview, facility record review and clinical record review, it was determined that the Home Health Agency (HHA) failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or…

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 3 out of 10 Sample Patients (SP).

The provider failed to ensure that all new and existing staff participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles for 1 out 10 personnel record.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to maintain documentation of any revision to the established plan of care by the physician issuing order for the home health agency plan of care for 1 out 8 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 7 Sampled Patients (SP).

The home health aide failed to only provide assistance in administering medications ordinarily self-administered on 1 out of 2 Sampled Patients (SP) with home visits done.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA), while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service on 1 out of 7 Sample Patients (SP).

The provider failed to have in the clinical record all clinical notes for services rendered for 1 out of 7 Sampled Patients (SP).