Greatland Home Health

The home health agency failed to evidence a current Emergency Preparedness Plan for review during their recertification survey.

The home health agency failed to ensure: skilled services were provided as ordered (See G0572); the plan of care included all required information / elements for the treatment of the patient (See G0574); all orders were recorded in the plan of care (See G0576); verbal orders were written and…

The home health agency failed to evidence they had a QAPI program that measured, analyzed, and tracked quality indicators (G0642); utilized data to identify opportunities for improvement (G0644); improvement activities focused on high risk or problem prone areas (G0646); performance improvement…

The home health agency failed to ensure: the Administrator was responsible for all day to day operations (See G948); the Clinical Manager was available (See G950); and failed to ensure the administrator had a predesignated person authorized in writing to assume responsibility in the absence of the…

The agency failed to ensure skilled services were provided as ordered in 1 of 4 active clinical records reviewed with wounds.

The agency failed to evidence the patient and caregiver were provided with a copy of written instructions and provided no later than the next visit after the plan of care had been approved by the physician in 1 of 1 home visits observed with a start of care prior to 06/10/2025 (Patient #2).

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s status and included the patient’s active health status and medical problems to assist the agency in developing the patients’ plan of care in 1 of 1 home visits observed with a patient with start of care…

The agency failed to ensure all medications the patient was taking were reviewed to identify significant drug interactions, potential adverse effects and noncompliance with drug therapy in 1 of 1 home visit with a start of care date before 06/10/2025 (Patient #2) and in 1 of 3 active clinical…

The agency failed to ensure the patient’s individualized plan of care included all medications and treatments, safety measure to protect against injury and the types of services, supplies and equipment required in 1 of 1 home visits observed of a patient with a start of care prior to 06/10/2025…

The agency failed to ensure all orders were recorded in the plan of care in 1 of 1 home visits observed before a start of care date of 06/10/2025 (Patient #2), and 1 of 1 active patients clinical record reviewed of a patient on dialysis (a process to filter the blood of a patient whose kidneys do…

The agency failed to ensure verbal orders were documented in the patient’s clinical record and signed with date and time of orders in 1 of 1 home visits observed with a patient wound (Patient #1).

The agency failed to ensure a patient received a written visit schedule in 1 of 1 home visits observed with an occupational therapist (Patient #2).

The agency failed to ensure a patient was provided with a copy of written instructions outlining the patient’s medication schedule and instructions in 1 of 1 home visits observed with a patient start of care before 06/10/2025 (Patient #2).

The agency failed to ensure the patient was provided contact information for the agency’s clinical manager in 2 of 2 home visits observed (Patient #1, Patient #2).

The agency failed to provide services as outlined in the plan of care in 1 of 1 home visits observed with a start of care before 06/10/2025 (Patient #2).

The agency failed to ensure the skilled professionals completed clinical notes / documentation in 1 of 1 active clinical records reviewed of a patient who received dialysis (a process to filter the blood of a patient whose kidneys do not work normally) (Patient #5) and failed to ensure medical…

The agency failed to ensure accurate contact information for patients in 1 of 1 home visits observations confirmed but not completed (Patient #3).

The agency failed to evidence a discharge/transfer was completed in 1 of 1 home visits completed with a resumption of care (Patient #2).