Health One Homecare

The Agency failed to complete an Emergency Preparedness Plan that was based on a facility and community based risk assessment (E0006); the facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all patient physician's (E0030)…

The Agency failed to develop a written plan of care in 1 (MR's #3) of 7 records, resulting in the potential for decline in physical functioning and unmet care needs (G572); failed to ensure the plan of care was individualized to the patient's identified needs for 1 of 7 records reviewed (MR#3)…

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program, (G-642); the agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, (G-644); failed to document the quality improvement…

The Agency failed to conduct a facility-based and community-based risk assessment resulting in the potential for failure to identify hazards associated with the facility and less than optimal outcomes during an emergency event.

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all patient physician's, which had the potential to negatively affect the health and safety of the patients serviced by this agency, resulting in the lack of effective…

The Agency failed to develop and maintain an emergency preparedness training and testing program for staff based on the agency's emergency plan, resulting in agency personnel not being educated in actions to take in the event of an actual disaster.

The agency failed to develop a written plan of care for 1 of 7 records reviewed (MR#3), resulting in no plan to specify the care and services necessary to meet the needs of the patient.

The agency failed to develop, implement, and maintain a quality assessment and performance improvement program which had the potential to negatively affect all 24 patients that were admitted during the past 12 months, resulting in a potential for poor patient outcomes due to the provision of…

The agency failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment and performance improvement program, which had the potential to negatively affect all patients serviced by the agency…

The Agency failed to develop a Quality Assessment Performance Improvement program that documented the annual quality improvement projects, the reasons for conducting these projects with measurable progress achieved on these projects for the 2020, 2021 and 2022 calendar years, resulting in the…

The agency failed to ensure infection control education was provided to staff employed or contracted by the agency in 4 of 4 personnel files reviewed (Adm#1, CM#1, RN#1, Intake#1), resulting in a lack of knowledge and training regarding current infection prevention/treatment practices in the home…

The Agency (HHA) failed to ensure the initial comprehensive assessment was completed no later than 5 calendar days after the start of care in 1 record (MR#3) from a total of 7 records reviewed, resulting in the potential for unidentified patient needs.

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications by a registered nurse in 4 records (MR #1, 2, 3, 7), from a total of 7 sampled records reviewed, resulting in the potential for harmful medication effects for all patients serviced by this Agency.

The agency failed to ensure the plan of care was patient specific and individualized to the patient's identified needs, covered all pertinent interventions with reportable parameters for 1 of 7 records reviewed (MR#3), resulting in patients not receiving care specific to their needs and the…

The Agency failed to ensure all patient skilled nursing intervention orders were recorded in the plan of care in 1 record (MR# 3) of 7 sampled records reviewed, resulting in a lack of physician oversight and input regarding the patient's plan of care and the potential for services not provided as…

The agency failed to ensure that all drugs, care and services were provided only in accordance with Physician's orders for 1 (MR #1) of 7 records reviewed, resulting in the potential for the provision of unsafe, unauthorized care and unmet care needs.

The Agency failed to ensure a discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 7 (MR#s 1-7) of 7 closed records reviewed, resulting in the potential for…

The agency failed to adequately assess and monitor the needs of the patient in 1 of 7 records reviewed (MR#5), in which therapy services were ordered, from a total sample of 7 samples records reviewed, resulting in the potential for physical harm to the patient.

The Home Health Agency failed to ensure the patient's Medical Social Work needs were adequately met in the patient's home for 1 of 1 patient (MR #5) with Medical Social Work services, from a total of 7 sampled records reviewed, resulting in unmet care needs.

The agency failed to ensure the Registered Nurse and Licensed Practical Nurse conducted a review and reconciliation of the patient's medications for any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy for 1 of 7 (MR# 1) records reviewed, resulting in…

The Agency's skilled professional services failed to coordinate care to ensure communication with the patient was effective for facilitating care as ordered by the physician for 1 of 1 (MR#5) patient with no access to a phone, resulting in the patient's inability to receive ordered services.

The agency failed to ensure the clinical record entries were clear, complete, timed and dated in 2 of 7 records reviewed (MR #1, and 7) out of a total sample of 43 active records, resulting in the lack of identification of complete and accurate patient needs.

The agency failed to ensure the physician was notified of the staff not providing services as ordered in the plan of care and reportable parameters in 2 of 7 records reviewed out of a total sample of 43 active records (MR #1 and 7).

The agency failed to ensure the Home Health Aide provided care in accordance with the plan of care for 3 of 4 (MR# 1, 4 and 5) patients in which Home Health Aide services were provided, resulting in the potential for all patients who receive Home Health Aide care services to be sub-standard.