Heartland Home Care, LLC

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to provide services as ordered in the plan of care for 1 of 17 (MR#15) records reviewed, resulting in the potential for poor patient outcomes, decline in physical functioning, and unmet personal care needs, and a negative outcome for all patients receiving therapy services and…

The home health agency failed to advise their patients of the names, addresses and telephone numbers of the federally and state funded entities that serve the area in which each patient resides, resulting in the potential for unmet patient care needs for all patients currently serviced by the…

The agency failed to ensure the plan of care included complete and pertinent orders and measurable goals in 10 of 17 records reviewed out of a total of 17 records reviewed (MR #1, 3, 4, 5, 6, 7, 9, 10, 11, and 12), resulting in incomplete care for the patient and potential for unidentified goals.

The Agency failed to ensure that all drugs, care and services were provided only in accordance with Physician's orders for 2 (MR #1 and #6) of 17 records, from a total of 17 records reviewed, resulting in the potential for the provision of unsafe, unauthorized care and unmet care needs.

The agency failed to ensure the physical therapist and the medical social worker developed plans of care for 1 of 17 (MR# ) records reviewed in which more than one discipline was ordered to provide care, resulting in a potential decline in physical functioning and a delay in accessing community…

The home health aide failed to provide services as ordered on the plan of care, for 3 of 6 records reviewed with home health aide services (M.R. #12, 14 and 15), for a potential of unmet care needs, for a potential to negatively affect all patients receiving home health aide services.

The agency (HHA) failed to ensure that the individuals who furnished Home Health Aide (HHa) services on its behalf, met the competency evaluation requirements found in section §484.80 (c)(1), which consist of direct patient care in 3 of 4 HHa records reviewed, resulting in the potential for the…

The Agency (HHA) failed to ensure the Registered Nurse (RN #5) followed accepted Infection Control standards of practice during a PICC (peripherally inserted central catheter) line dressing change for 1 of 1 patient observed with a PICC line, from a total of 18 sampled records reviewed (MR #1)…

The agency (HHA) failed to ensure that the individuals who furnished Home Health Aide (HHa) services on its behalf met the competency evaluation requirements of §484.80 (c)(1) that reflected direct patient care in 3 of 4 HHa records reviewed, resulting in the potential for the provision of…

The agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient safety precautions, in 10 of 10 Home Health Aide (HHa) records in which aide services were provided, from a total of 18 records reviewed, (MR's #3, 6, 7, 8, 9, 10, 11, 13, 15, 17) resulting in the inability…

The Agency (HHA) failed to ensure the patient's Medical needs were met for 1 of 1 patient who was insulin dependent; and failed to ensure the patient's Medical social work (MSW) needs were adequately met in the patient's home for 1 of 1 patient who requested MSW services, from a total of 18 sampled…

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 5 records…

The agency failed to perform a comprehensive review of the plan of care (POC) at least every 60 days for 1 of 2 records recertified for home health services (MR #9), from a total of 18 records reviewed, resulting in the inability of the agency to ensure recertified patients received appropriate…

The Agency (HHA) failed to ensure the physician was promptly notified of the patient's discontinued insulin use due to lack of diabetic supplies for 1 patient who was insulin dependent; and failed to report changes in the patient's condition in 3 record with elevated blood sugars and blood…

The agency (HHA) failed to ensure that Master of Social Work (MSW) services were administered in accordance with the physician's orders and the plan of care (POC) in 2 of 5 records in which MSW services were ordered from a total of 18 records reviewed (MR #5 and 8) resulting in the potential for…

The Home Health Aide (HHa) failed to provide services as ordered in the plan of care (POC) for 1 of 2 patients observed during HHa home visits, from a total of 18 records reviewed (MR #3), resulting in the patient not receiving services as ordered, the potential for development of infection and…

The Registered Nurse (RN) failed to provide onsite supervision of the home health aide services as required for 2 of 9 records of patients with Home Health Aide services, from a total of 18 sampled records reviewed, (MR's #3, 7) resulting in the potential for the provision of unsafe care, and…

The agency failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge and forwarded to the physician in 2 of 2 discharge records reviewed (M.R. #7 and 12), from a total of 18 records reviewed, resulting in the potential for…