First Horizon Home Health Care LLC

The agency failed to ensure home health training was of an adequate duration, before placing trainees on the Indiana State Aide Registry for active 5 of 8 personnel files reviewed.

The Agency failed to ensure anticoagulation (blood thinner) interventions were on each individualized POC in 3 of 3 active patients' clinical records reviewed recieving anticoagulation therapy, (Patients 1, 2, and 4); and failed to ensure aspiration (swallowing difficulties) interventions were on…

The agency failed to ensure home health training was of an adequate duration, before placing trainees on the Indiana State Aide Registry for 5 of 8 active personnel files reviewed (HHA 1, 2, 3, 4, and 7) and 2 of 2 inactive personnel (Persons 1 and 2).

The agency failed to evidence the Governing Body assumed responsibility for managing Home Health services by failing to provide services to Medicare-insured patients since 2017, as a participant in the Medicare program.

The agency failed to ensure infection control practices were upheld for hand hygiene and gloving for 2 of 3 home visits with HHAs (HHA 3 and 7) and 1 of 1 home visits with an RN (Alternate Clinical Supervisor) providing care.

The agency failed to ensure an RN performed an initial start of care assessment before a HHA provided care for 1 of 1 active clinical record reviewed where the patient’s services were placed on hold.

The agency failed to ensure a plan of care was completed for 1 of 1 active clinical record reviewed where the patient’s services were placed on hold.

The agency failed to ensure physician orders were received before providing care for 1 of 1 active clinical record reviewed where the patient’s services were placed on hold.

The agency failed to ensure the physician was notified of the need to restart services for 1 of 1 active clinical record reviewed where the patient’s services were placed on hold.