Grapevine Home Health Services Inc

The agency failed to ensure the Condition of Participation: G 510 484.55 Comprehensive Assessment of Patients was in compliance when: 1. Based on interview and record review, the agency failed to ensure a review of all medications the patients were taking was conducted for three of eight sampled…

The agency failed to ensure that the Condition of Participation: G 570 484.60: Care planning, coordination, quality of care was in compliance as follows: 1. Based on interview and record review, the agency failed to ensure an individualized care plan was created and followed for five of eight…

The agency failed to ensure that the Condition of Participation: G 940 484.105 Organization and administration of services was in compliance as follows: Based on interview and record review, the agency failed to ensure Physical Therapy (PT) needs were reassessed and additional PT visits requested…

The agency failed to ensure an individualized care plan was created and followed for five of eight sampled patients (Patients 1, 2, 4, 5 and 7) when: 1. For Patient 1: the Plan of Care (POC) did not address Patient 1's shortness of breath, right toe wound care or pain.

The agency failed to investigate a complaint of failure to provide Physical Therapy (PT) services to meet patient goals, for one of eight sampled patients (Patient 4).

The agency failed to ensure a review of all medications the patients were taking was conducted for three of eight sampled patients (Patients 2, 5, and 6) when: 1. For Patient 2: a Medication Profile (MP-a current list of all medications prescribed for a specific patient), was never created.

The agency failed to ensure the comprehensive assessment was updated by a discharge assessment and summary for three of eight sampled patients (Patients 1, 2 and 3).

The agency failed to ensure Physical Therapy (PT) needs were reassessed and additional PT visits requested, from the physician, for three of eight sampled patients (Patients 4, 5 and 6) when: 1. Patient 4 was not re-evaluated for additional Physical Therapy (PT) visits.

The agency failed to ensure the Condition of Participation: G 510 484.55 Comprehensive Assessment of Patients was in compliance as follows: 1. Based on interview and record review, the agency failed to obtain and verify a physician's order for a physical therapy initial evaluation assessment for…

The agency failed to ensure that the Condition of Participation: G 570 484.60 Care planning, coordination, quality of care was in compliance as follows: 1. Based on observation, interview, and record review, the home health agency failed to ensure the Plan of Care (POC) for five of 10 sampled…

The agency failed to ensure that the Condition of participation: G 640 484.65 Quality assessment and performance improvement (QAPI) was in compliance as follows: 1. Based on interview and record review, the agency failed to collect, measure, analyze and track quality indicators (a measurable…

The home health agency (HHA) failed to obtain and verify a physician's order for a physical therapy evaluation for one (1) of 10 sampled patients (Patient 1).

The agency failed to collect, measure, analyze and track quality indicators (a measurable element of the agency's practice that can be used to assess the quality of care provided) data in order to assess the agency's process of care, services, and operations, in a universe of 527 patients.

The agency failed to choose a quality indicator (a measurable element of the agency's practice that can be used to assess the quality of care provided) from OASIS (Outcome and Assessment Information Set) data to monitor.

The agency failed to document the performance improvement project (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had and…

The agency failed to ensure quality assurance improvement (QAPI) was implemented, maintained, and evaluated for effectiveness, in a universe of 527 patients.

The home health agency (HHA) failed to ensure the comprehensive assessment were completed by a Registered Nurse (RN) for the initial certification and recertification period for four of 10 sample patients (Patients 4, 8, 9, and 10) as evidenced by: a.

The home health agency (HHA) failed to ensure that all medications were accurate and current for 1 (one) of 10 sampled patients (Patient 2) when: a.

The home health agency (HHA) failed to ensure the discharge orders were obtained and discharge summaries completed for four out of 10 sample patients (Patients 5, 8, 9, and 10).

The home health agency failed to ensure the Plan of Care (POC) for five (5) of 10 sampled patients (Patients 1, 4, 5, 6, and 7) were signed by the physician.

The home health agency (HHA) failed to ensure the plan of care/physician's orders were followed for two of 10 sampled patients (Patient 5 and 6) when: 1. Patient 5 did not receive Physical Therapy home visits for the two week period of November 4, 2019 to November 17, 2019 2. Patient 6 did not…

The home health agency (HHA) failed to obtain a physician's order for a physical therapy evaluation for one (1) of 10 sampled patients (Patient 1).