Flagstar Home Health Services

The home health agency (HHA) failed to document initial training in emergency preparedness policies and procedures for 28 of 28 employees, including contract employees, and failed to maintain documentation of ongoing training for 28 of 28 employees, resulting in the potential for inappropriate…

The agency failed to ensure its skilled discipline followed the ordered visit frequency for 1 (P-2) of 1 patient who required diabetic and pain management, from a total of 7 sampled records reviewed, resulting in the potential for unidentified, untreated health concerns and unmet care needs.

The agency failed to ensure its skilled disciplines utilized infection control standards of practice during the provision of care for 1 (P-2) of 2 patients observed during a home visit, from a total of 7 sampled records reviewed, resulting in the potential for the development and spread of…

The agency failed to provide documented evidence that infection control education was provided to all staff directly employed by the agency and those of who were granted clinical privileges, resulting in the potential for the development and spread of infection to all 28 of 28 staff and all 36…

The agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The agency failed to ensure all clinical documents were complete, signed and dated for 2 (P-2, P-3) of 2 patients ordered to receive home care services, from a total of 7 sampled records reviewed.

The agency failed to ensure that 1 (P-2) of 2 patients observed during home visits, were included in the overall planning of care including informing the patient in advance of the days in which services would be provided, resulting lack of inclusion in planning, the potential for missed visits and…

The agency failed to ensure the initial comprehensive assessment accurately reflected the patient's health status at the time of admission for 1 (P-1) of 1 patient who required wound care services, and 2 of 2 patients (P-5, 6) for baseline measurements, from a total of 7 sampled records reviewed…

The agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 2 (P-2, P-3) of 2 patients assessed as needing assistance with grooming, resulting in the potential for poor hygiene, psychological decline, and unmet care needs.

The agency failed to ensure the comprehensive assessment included a review of all the patient's prescribed medication to determine any untoward interactions, for 2 (P-1, 5) of 2 patients, from a total of 7 sampled records reviewed, resulting in the potential for harmful medication effects.

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals specific to the needs of the patient for 7 (P-1, P-2, P-3, P-4, P-5, P-6, P-7) of 7 records, from a total of 7 sampled records reviewed…

The agency failed to ensure care and services were provided only as ordered by the Physician for 1 (P-3) of 1 patient who was resumed under the agency's care after an inpatient stay, from a total of 7 sampled records reviewed, resulting in the potential for substandard, unsafe care and unmet…

The agency failed to provide 1 (P-3) of 2 patients observed during home visits, with a Medication Profile that included the names, dosages and frequencies of the patient's prescribed medications from a total of 7 sampled records reviewed, resulting in lack of direction for medication administration…

The agency failed to ensure its skilled disciplines performed accurate baseline and ongoing assessments for 2 (P-1, P-3) of 2 patients who required continuous monitoring, from a total of 7 sampled records reviewed, resulting in the potential for unidentified, untreated health concerns and unmet…

The agency failed to ensure the clinical record was complete and included detailed clinical notes regarding the patient's health status for 1 (P-1) of 1 patient admitted with pressure sores; and 1 (P-3) of 1 patient who received inpatient medical treatment, from a total of 7 sampled records…

The agency failed to ensure the transfer/discharge summaries were documented in the record and sent to the Physician in 4 (P-1, P-3, P-4, 5) records in which the patient was discharged/transferred from the agency's services, from a total of 7 sampled records reviewed, resulting in the potential for…