Guardian Care Services of Brevard Inc

The HHA failed to contain the correct information regarding the State toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local HHAs.

The home health agency failed to protect and promote the exercise of patient and representative rights to make complaints to the agency by not developing and implementing written policies and procedures by which complaints would be addressed, processed, reviewed, and resolved.

The home health agency failed to provide the documented evidence and an operational demonstration that they had developed, implement, evaluated, and maintained an effective, ongoing, agency-wide, data-driven quality assurance performance improvement (QAPI) program.

The home health agency's skilled nursing services failed to meet central venous catheter needs in a patient's place of residence, and unnecessarily sent the patient to the emergency room (ER), resulting in undue emotional stress, without obtaining a physician's order in accordance with the plan of…

The home health agency failed to provide documented evidence of an ongoing quality assurance performance improvement (QAPI) program that would measure, analyze, track quality indicators, adverse patient events, complaints, and other aspects of performance that enable the agency to assess process of…

The patient complaints were not provided by the OM at this time.

The home health agency failed to document the existence of verbal complaints made by a patient and a patient's representative and caregiver regarding central venous catheter (CVC) care for 2 of 2 sampled residents who received intravenous antibiotic in a total of 5 sampled patients (#4 & #5).

The home health agency failed to provide skilled nursing services in accordance with a patient's plan of care to appropriately recognize a patient's kinked central venous catheter (CVC) line, and appropriately intervene when it would not flush, resulting in an elderly confused patient experiencing…