Friends Home Health Care Inc

The agency failed to provide care with a reasonable expectation that a patient’s health needs could be meet for 1 of 7 active records reviewed.

The tool, following the Center for Disease Control (CDC) guidelines, indicated specifically, “facilities should have a screening process to assess for signs/symptoms consistent with COVID-19 and for exposure to others with known or suspected COVID-19. CDC recommends options for screening symptoms…

The agency failed to implement and maintain an emergency preparedness plan and failed to follow all local and state emergency preparedness regulations for 1 of 1 agency's emergency preparedness plans reviewed.

The agency failed to implement and have established policies and procedures for the Coronavirus (COVID-19) pandemic while the state was under a Public Health Emergency as a result of the COVID-19 virus and had been since March 6th 2020 for 1 of 1 agency reviewed.

The agency failed to ensure the emergency preparedness plan contained the names and contact information for all staff, patients, physicians, and other entities providing services integrated into the emergency preparedness binder for 1 of 1 agency reviewed.

The agency failed to provide a copy of written instructions to the patient and caregiver for 1 of 3 home visit observations.

The agency failed to ensure staff wore proper personal protective equipment (PPE) to prevent the transmission of COVID-19 (infectious disease) during a pandemic (worldwide) for 3 of 3 home visit observations (patients 3, 5, & 6) with the potential to affect all patients since March 20, 2020.…

The agency failed to implement a screening process to assess for signs/symptoms consistent with COVID-19 and for exposure to others with known or suspected COVID-19 and failed to ensure staff self-screened prior to home visits for 3 of 3 home visits observations (Patient 3, 5, & 6) and 8 of 8…

The agency failed to educate staff and patients on Covid-19 infection control and preventative guidelines for 3 of 3 home visit observations (Patient 3,5,6); and failed to write agency policies on Covid-19 that were based on current standards of practice for 1 of 1 home health agency.

The administrator failed to provide overall direction and leadership of agency services, failed to ensure the agency met all rules and regulations for recertification, and failed ensure the responsibility for all day-to-day operations for 1 of 1 home health agency.

The agency failed to complete clinical documentation for patients that were exposed to COVID-19 for 3 of 3 record reviews of patients exposed to COVID-19 (Patient 1,2,6); and failed to document the tracking and follow quarantine & isolation guidelines set forth by the CDC and Indiana Code (IC)…

The agency failed to ensure patients were informed of factors that could affect their health during a pandemic for 3 of 8 records reviewed (Patient 1, 2, and 6) Findings include: Based on record review and interview, the agency failed to ensure patients were informed of factors that could affect…

The agency failed to ensure all services outlined in the plan of care were received for 1 of 6 active record review.

The agency failed to ensure the plan of care included the visit frequency and duration of services for 4 of 8 clinical records reviewed.

The agency failed to provide a written schedule that included visit frequency for 1 of 3 home visits with the potential to affect all active patients.

The agency failed to ensure patients received written information regarding the patient's medication regimen in plain language which also identified who was responsible for giving each medication for 3 of 3 home visit observations (Patient 3, 4, 6) with the potential to affect all patients.

The agency failed to narrow the scope of the quality assessment performance improvement (QAPI) program to concentrate on infection control issues that would lead to an immediate correction of any identified problem that directly or potentially threaten the health and safety of patients for 1 of 1…

The agency failed to ensure all services were provided in accordance with clinical practice guidelines and accepted professional standards of practice for 3 of 3 home visit observation (Patient 3,4,6); and for 4 of 4 agency staff observations (1/31/22-2/2/2022) Findings include: A document titled…

The Registered Nurse failed to ensure visit notes contained complete wound assessments in the patient's condition (See G706); failed to ensure the plan of care included anatomical position of wounds and was specific in the interventions to be provided in the management of the wounds (See G708); to…

The agency failed to ensure that all employees participated in the table top exercise to test their emergency plan for 1 of 1 agency.

The facility failed to ensure the Home Health Aide washed hands and wore gloves appropriately during 1 of 1 home health aide visit observed.

The agency failed to provide written care instructions on the aide plan of care regarding cleaning of equipment in 1 of 2 records with home health aide visits and failed to adequately specify the frequency for completing each task assigned to the home health aide in 2 of 2 records with home health…

The facility failed to ensure a recertification visit was appropriately signed by the staff member with their name and title for 1 of 7 records reviewed.

The agency failed to ensure care and services were provided per the plan of care for 2 of 7 records reviewed.

The facility failed to ensure an RN (Registered Nurse) performed a recertification visit in the home for 1 of 1 patients with routine LPN (Licensed Practical Nurse) visits.

The agency failed to record verbal orders in the plan of care of patients receiving physical therapy services in 1 of 1 records reviewed (Patient 3).

The agency failed to ensure the physician was notified of changes in a patients skin integrity in 1 of 1 patients with skin impairment issues out of a total of 7 records reviewed.

The facility failed to ensure an coordination of care between staff members were documented in the clinical record in 2 of 2 clinical records reviewed with more than one certification period (Patient 1 and 4) Findings include: 1. A policy, revised 2014, and titled, "Coordination of Patient Care,"…

The agency failed to follow agency policy on coordination of patient care with other providers for 1 of 2 patients that receive care from other providers.

The agency failed to ensure ongoing patient education to meet the patient's individual needs in 1 of 1 patients with skin integrity and diet issues out of a total of 7 records reviewed.

The Registered Nurse failed to ensure visit notes contained complete wound assessments in the patient's condition in 1 of 1 patients with skin integrity issues out of a total of 7 records reviewed.

The Registered Nurse failed to ensure the plan of care included anatomical position of wounds and was specific in the interventions to be provided in the management of the wounds in 1 of 1 patients with skin integrity issues out of a total of 7 records reviewed.

The agency failed to ensure care and services were provided per the plan of care for 1 of 7 records reviewed.

The skilled nurse failed to ensure the physician was notified of changes in a patients skin integrity in 1 of 1 patients with skin impairment issues out of a total of 7 records reviewed.

The RN (Registered Nurse) failed to ensure they followed facility policy to ensure supervisory visits on the LPNs (Licensed Practical Nurse) were conducted monthly for 1 of 5 current patients reviewed.

The home health aide failed to ensure care and services were provided as ordered by the physician in 1 of 3 patients that receive home health aide visits.

The facility failed to follow their policy and ensure patient referral forms were completed in order to determine when initial assessments needed to be completed in 7 of 7 records reviewed.