Green Valley Home Health Services, Inc

The facility failed to notify the physician regarding a missed Home Health Aide (HHA) visit on April 1, 2025, for one of seventeen sampled patient’s (Patient 5).

The agency failed to ensure two of three Home Health Aides (HHA 1, and HHA 2) had at least 12 hours of in-service training for the year 2024. This failure resulted in HHA 1 and 2 to not be provided ongoing education regarding patient care and a missed opportunity for the agency to ensure continual…

The facility failed to ensure patients clinical records are stored in a locked, waterproof file cabinet in a designated clinical record room in accordance with the facility’s policies and procedures.

The agency failed to ensure a Registered Nurse (RN) or therapist provided supervision of care to the agency’s home health aides for one of seventeen sampled patients (Patient 5) when a registered nurse (RN) or therapist did not perform an on-site (in -home) supervisory visit at least every 14 days…

The agency failed to ensure one of seven sampled employee’s (Physical Therapy Assistant 1 [PTA 1]) had complete employee files when: - - The agency did not have documented evidence that a background check was performed on PTA 1 prior to hire or prior to working with patients.

The agency failed to ensure two of five sampled discharged patients (Patient 13 and 15) had evidence that discharge summaries (a summary which contains information such as the patients discharge condition, type of services provided, patient outcomes in meeting goals, and discharge instructions)…

The agency’s failed to implement their emergency preparedness policy and procedure for one of 10 patients (Patient 10) when Patient 10 did not have a natural, or man-made disaster plan in the comprehensive patient assessment.

The agency failed to implement their emergency preparedness policy and procedure for one of 10 patients (Patient 10) when the agency did not identify Patient 10’s triage/risk code (codes used to determine the level of evacuation needs: code 1: unable to evacuate self, Code 2: family able to assist…

The facility failed to train staff regarding emergency procedures during a disaster, when one of one Registered Nurses (RN 1) was unable to demonstrate knowledge of the facility’s emergency procedures.

The agency failed to provide information of the names, addresses, and telephone numbers of federally funded and state funded entities for one out of 10 sampled patients (Patient 10) when admission packets were reviewed.

The agency failed to implement their “Facilitating Communication” policy and procedure for one out of 10 Patients (Patient 10) when there was no information available on how to access auxiliary aids and language services.

The facility failed to accurately transcribe medications for one of 10 patients (Patient 10), after discrepancies in medications were found between the patient medication record in the plan of care and the medication profile/sheet at the patient’s home.

The facility failed to complete monthly calendar records per their policy, when four out of four Patients’ (Patient 7, Patient 8, Patient 9, and Patient 10) in-home records contained a monthly calendar that was blank.

The agency failed to obtain signed physician referral orders before providing home health services for two of three sampled patients (Patients 1 and 3).

The agency failed to ensure the Condition of Participation: G 570 484.60 Care Planning, Coordination of Services, and Quality of Care was in compliance when: 1. For one of 17 sampled patients (Patient 6), skilled nursing visits were not completed as ordered in the CMS-485 (Plan of Care and…

The agency failed to meet the Condition of Particpation 484.65 G640 Quality Assessment /Performance Improvement when the agency failed to identified opportunities for improvement in patient care when: The Facility failed to ensure and identify opportunities for improvement.

The agency failed to ensure the Condition of Participation: G 680 484.70 Infection Prevention and Control was in compliance when: 1. For Patient 7, based on observation, interview, and record review, the agency failed to disinfect the glucometer (a device used to check the level of blood sugar in…

The facility failed to ensure, for one of 17 sampled patients (Patient 6), that all skilled nursing visits were completed as ordered in the CMS-485 (a form also known as the Plan of Care and physician orders) and to ensure the physician was notified of the missed skilled nursing visit.

The facility failed to obtain a physician order for the over- the- counter pain medication that Patient 2 was taking instead of what the physician had prescribed.

The facility failed to identify opportunities for improvement when: 1. Single-user glucometers (a device used to check blood sugar level in a single patient) were not disinfected according to manufacturer guidelines and were used on multiple patients.

The agency failed to ensure infection control practices were implemented when: For Patient 7, a single user glucometer (a device used to check blood sugar in a single patient) was being used on multiple patients, as confirmed by the Licensed Vocational Nurse (LVN 4), and the glucometer was not…

The agency failed to ensure infection control practices were implemented when: For Patient 10, the Licensed Vocational Nurse (LVN 3) failed to disinfect the top of two insulin vials before withdrawing insulin.

The agency failed to ensure that patient care services were communicated across all disciplines providing care for one (1) of 17 sampled Patients (Patient 11) when Patient 11 sustained a fall with injury at the assisted living facility (ALF) and the agency's doctor was not notified.

The agency failed to ensure: A doctor's order was obtained when a Licensed Vocational Nurse (LVN 4) checked Patient 7's blood sugar without a doctor's order.

The facility failed to ensure for two of 17 sampled patients (Patients 3 and 6), that the Physical Therapy Aide (PTA), the Occupational Therapy Aide (OTA) and the Occupational Therapist (OT) re-assessed the patients vital signs (temperature, pulse, respirations and blood pressure) after the…