Golden Angels Home Health Care

The agency failed to meet the Condition of Participation for Patient Rights when the agency did not inform patient of their rights, inform patients and their representative about a change in plan of care, inform patient of advanced directives, and maintain patient information in a confidential…

The agency failed to meet the Condition of Participation for Acceptance of Patients, Plan of Care, Medical Supervision, when the HHA did not develop a care plan, notify the physician of changes and obtain physicians signature on verbal orders.

The agency failed to meet the Condition of Participation for Clinical Records when the agency failed to provide accurate and current clinical record.

The agency failed to meet the Condition of Participation for Comprehensive Assessment of Patients, when the agency did not provide the initial visit within 48 hours of referral, provide complete assessment of medication regimen and to update and revised comprehensive assessment upon discharge.

The agency failed to inform patients of their rights for one of five randomly sampled patients (Patient 12) when staff did not review and explain the admission patient rights document to Patient 12 and her caregivers.

The agency failed to inform the patient or representative about a change in the plan of care for two (Patients 5 and 7) of ten sampled patients, when the agency discharged Patient 5 and 7 with no notification to the patient or families.

The agency failed to inform one (Patient 12) of five randomly sampled patients and his caregiver verbally and in writing of Patients' Rights in creating an Advanced Directive.

Staff's personal cell phones.

The agency failed to develop a plan of care for two of ten sampled patients (Patient 3 and 6) when Patient 3 and 6 had no documented skilled nursing plan of care.

The agency failed to notify the physician for changes in condition for two of ten sampled patients (Patients 2, 3, 5, 7 and 8), and one of five randomly sampled (Patient 14) when: 1. For Patient 2, staff did not notify the physician regarding shortness of breath with activity.

The agency failed to obtain physicians signatures on verbal orders in a timely manner for four of ten sampled patients (Patient 4, 5, 6, 7) when the physician did not sign patients verbal orders.

The agency did not revise the plan of care for three of ten sampled patients (Patients 2, 3 and 6) and one randomly sampled patient (Patient 14).

The agency failed to provide counseling to include clear and written medication instructions for one (Patient 12) of five randomly sampled patients when Patient 12's caregiver was not counseled to include medication administration instruction.

The agency failed to provide accurate and current clinical record for five sampled patients (Patients 1, 4, 6, 9, and 10) and three of five randomly sampled (Patients 11, 12 and 13) when the clinical records were missing several home visit notes and clinical notes were not completed in a timely…

The agency failed to encode and transmit Outcome and Assessment Information Set (OASIS, an assessment tool) data in a timely manner for four of ten sampled patients (Patient 4, 5, 6 and 7) when OASIS was not completed.

The agency failed to provide an initial assessment visit within 48 hours after receipt of referral for three of ten sampled patients (Patient 3 and 7) when agency did not visit Patients 3 and 7 within 48 hours after receiving referral from the physician.

Staff did not review the medication supplies to ensure accuracy.

The agency failed to update and revised comprehensive assessment upon discharge for three of ten sampled patients (Patient 4, 5, and 7) when Outcome and Assessment Information Set (OASIS, an assessment tool) was not completed upon discharge.