Fox Run Home Health Agency

The Agency failed to ensure an Emergency Preparedness Plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, resulting in the potential for lack of preparedness and poor patient and staff outcomes, in the event of an actual emergency.

The agency failed to develop and establish written Emergency Preparedness policies and procedures that were based on the Emergency Preparedness plan, risk assessment and communication plan that had been updated every 2 years, resulting in the agency’s inability to implement appropriate emergency…

The Agency failed to incorporate an individualized Emergency Preparedness Plan into the Comprehensive Patient Assessment for 7 (P-1, P-2, P-3, P-4, P-5, P-6, P-7) records of patients who required individualized assessments in Emergency Preparedness from a total of 7 sampled records reviewed…

The Agency failed to ensure the home health aide (HHa) plan of care included all safety precautions concerning patient care in 1 (P-5) of 1 record reviewed with aide services, out of a total sample of 7 records reviewed, resulting in the potential for unmet patient care needs.

The Agency failed to ensure that 1 (P-1) of 3 patients observed during home visits, from a total of 7 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of…

The Agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 1 (P-2) patient assessed as needing assistance with ADLs, 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 medications to determine any adverse effects, and failed to alert the physician of the use of an experimental medication in 1 (P-7) of 7 sampled records reviewed, resulting in the potential for harmful medication…

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 3 (P-2, P-3, P-7) of a total of 7 sampled records reviewed, resulting in the potential for poor…

The agency failed to ensure the Physician was promptly notified of 3 (P-2, P-3, P-7) patients who experienced a significant change in condition, including low oxygen levels, increased pain and seizure activity, from a total of 7 sampled records reviewed, resulting in unidentified, untreated health…

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

The agency failed to ensure the registered nurse performed ongoing assessments of the patient's health status and needs in 1 (P-2) record of a patient with a diagnosis of congestive heart failure, from a total of 7 sampled records reviewed, resulting in the potential for unidentified health…

The agency failed to ensure the Speech Therapist completed the initial assessment in order to assist the physician in evaluating the patient's level of function and helped to develop the plan of care for 1 (P-3) record of a patient who required Speech Therapy services, from a total of 7 sampled…

The Agency failed to ensure the home health aide (HHa) provided services as ordered in 1 (P-5) of 1 record reviewed with aide services, out of a total sample of 7 records reviewed, resulting in the potential for unmet patient care needs.

The Agency failed to ensure the clinical record was completed and included detailed notes regarding the health status of the patient for 1 (P-2) record of a patient who experienced a significant change in condition, from a total of 7 sampled records reviewed, resulting in the potential for…

The Agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 2 (P-1, P-2) records in which the patient was…

The Agency failed to ensure the plan of care included individualized, patient-specific, measurable outcomes and goals in 5 (MR# 1, 4, 5, 6, 7) of 7 sample records resulting in a lack of patient inclusion in care planning and potential for unmet patient care needs.

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in 1 of 2 records reviewed in which the patient had diagnoses of dementia or a cognitive impairment and signed their own consents (MR#4) of a total sample of 7 records reviewed…

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to ensure the Plan of Care (POC) included objectively measurable and individualized goals and outcomes in 6 of 7 records reviewed (MR#s 1, 2, 3, 4, 5, and 6) of a total of seven records reviewed, resulting in a potential for failure to measure progress toward achievement of…

The agency failed to adequately assess and monitor the needs of the patient in one of seven sampled records reviewed (MR#1), resulting in the potential for decline in health status.

The agency failed to authenticate the records with signatures and dates, in 3 of 7 sampled records reviewed (MR#s 1, 3, and 4), resulting in the potential for negative patient outcomes, uncoordinated patient care and unmet care needs.

The agency failed to document on the comprehensive assessment the primary caregivers' willingness, ability, their availability and scheduled hours and days to provide care for patients in 3 (MR#s 1, 2, and 4) from a total of 7 sampled records reviewed, resulting in a potential for patient injury…

The agency failed to ensure the plan of care included all pertinent intervention for 1 of 7 records reviewed (MR#6), resulting in patients not receiving care specific to their individual needs and the potential for poor patient outcomes.