Hands at Home LLC

The agency failed to ensure the ordered frequency and duration of Home Health Aide (HHA) services on the Plan of Care was met for 1 of 4 active patient records reviewed (Patient #5).

The agency failed to ensure the physicians signed and dated the patients plan of care (See tag G572); and failed to ensure the phyicians reviewed the 60-day summary (See tag G588).

The agency failed to follow agency policy to ensure the patient's individualized plans of care were established, reviewed, and signed by the physician in a timely manner for 6 of 7 record reviews.

The agency failed to ensure staff were following acceptable standards of practice regarding a bed bath, perineal care, and drainage bag care for 2 of 3 patient care observations.

The agency staff failed to assume responsibility for ensuring patient plans of care were signed and dated by a physician; and failed to ensure home health aide documentation was incorporated into the electronic medical record for 6 of 7 record reviews.

The agency failed to ensure all documentation was complete and appropriately authenticated, dated, and timed in the medical record for 3 of 5 active record reviews.

The agency failed to ensure a medication had appropriate labeling and written instructions for use for 1 of 1 patient observation with a catheter.

The agency failed to ensure the 60-day summary was reviewed by the physician for 3 of 5 active record reviews.

The agency failed to ensure assessment documentation and dressing changes for a PICC-line (peripherally inserted central catheter) were ordered and documented for 1 of 1 record review of a patient with a PICC-line.

The agency failed to ensure services provided by a home health aide was consistent with home health aide training regarding a bed bath, perineal care, hand hygiene, and drainage bag care for 1 of 1 home health aide observation.

The administrator failed to provide overall direction and leadership of agency services and failed to ensure the agency met all rules and regulations for recertification for 1 of 1 home health agency.

The home health aide failed to submit documentation for 2 of 3 record reviews with home health aide visits.

The agency failed to cancel visits during hospitalizations for 1 of 4 (Patient #1) records reviewed.

The agency failed to develop and implement a plan of care that ensured the safety of the patient and failed to follow their policy for patient safety in 1 (Patient #2) of 3 home visits and a total sample of 7 clinical records reviewed.

The agency failed to ensure it complied with their policy for current, accurate and timely documentation of aide services in 1 (#3) of 3 patients receiving aide services from a total sample of 7 clinical records reviewed.