Good Hope Home Health Services, Inc

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in one of two records reviewed in which the patient had diagnoses of dementia or a cognitive impairment and signed their own consents (MR#3) of a total sample of 7 records…

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The agency failed to inform the patient of proper written notice, in advance of the HHA reducing or terminating on-going care in 3 of 4 sampled discharged records reviewed (MR#s 2, 4, and 6), resulting in the patient not having a right to dispute the end of their Medicare covered services.

The Agency failed to ensure the patient's Activity of Daily Living needs were adequately met in the patient's home for 2 of 4 patients (MR #3 and 5) assessed as needing assistance with ADLs, resulting in potential for poor hygiene, psychological decline and potential for injury.

The agency failed to ensure the plan of care was patient specific and individualized to the patient's identified needs, covered all pertinent interventions with reportable parameters, and measurable goals for 7 of 7 records reviewed (MR#'s 1, 2, 3, 4, 5, 6, and 7), resulting in patients not…

The agency failed to ensure the physical therapist performed complete assessments and re-assessments of the patient's health status including obtaining the patient's Oxygen Saturations during therapeutic Physical Therapy visits in 2 of 6 (MR#s 2 and 4) patients receiving physical therapy services.

The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals in 1 (MR# 6) of 4 closed/discharged records, from a total of 7 records reviewed, resulting in the potential for unidentified continuing…