Hemet Home Health Care

The agency failed to ensure the physician's verbal orders were signed and dated timely, within 20 days of order date for four of four patients reviewed (Patients 1, 2, 3, and 4).

The agency failed to develop and implement emergency preparedness policies and procedures by failing to ensure: 1. The agency's policy and procedure based on emergency preparedness must be reviewed and updated at least every two years (Refer to E-0004); 2. The agency's risk assessment based on all…

The agency failed to develop, implement and maintain and effective, on-going, home health agency-wide, data driven quality assessment and performance improvement (QAPI) program.

The agency failed to develop and maintain an emergency preparedness program that must be reviewed and updated at least every two years.

The agency failed to develop and implement an emergency preparedness program based on all hazards approach identified during the agency's risk assessment.

The agency failed to develop and maintain an emergency preparedness training and testing program.

The agency failed to electronically submit the completed Outcome and Assessment Information Set (OASIS - a standardized set of data elements used by home health agencies to collect and report patient information, to track and monitor quality of home health, used to develop individualized care…

The agency failed to ensure an on going infection control program for the surveillance, identification, infection prevention control of infections and communicable diseases were maintained and implemented.

The agency failed to provide the 12 hours in-service training for three of three CHHA files reviewed.

The agency failed to ensure the patient's current Plan of Care (POC) and current medication profile were updated, accurate, and complete for five patients reviewed (Patients 4, 5, 6, 7, and 1) when: 1. For Patient 4, Four medications that had been discontinued by the patient's physician, or the…

The agency failed to ensure the physician's verbal orders were signed and dated timely, within 30 days of order date for ten of 17 patients reviewed (Patients 1, 4, 5, 6, 8, 9, 12,14, 15, and 16).

The agency failed to ensure the discharge OASIS (Outcome and Assessment Information Set – an assessment tool), was signed by the Registered Nurse Supervisor (RNS), for five of five discharged patients reviewed (Patients 13, 14, 15, 16, and 17).

The agency failed to perform and complete the Certified Home Health Aide (CHHA) annual competency evaluation for three of three CHHA files reviewed (CHHA 1, 2, and 3).

The agency failed to conduct supervisory visits every 14 days for three of three Certified Home Health Aides (CHHAs) reviewed.

The agency failed to ensure the Director of Patient Care Services (DPCS) was involved in the overall coordination of patient care.

The home health agency failed to ensure care and services were provided in accordance with the plan of care for 3 of 6 sampled patients when: 1. For Patient 1, ten skilled nursing (SN) visits were not made as ordered in the plan of care; 2. For Patient 2, two skilled nursing visits were not made as…

The agency failed to ensure the medications listed in patient's Plan of Care (POC) and medication home profile were updated with accurate doses and frequencies for one of 13 sampled patients (Patient 1).

The agency failed to ensure 1) the patient's individualized Plan of Care (POC) was specific to the patient's needs and included all pertinent diagnoses, durable medical equipment (DME), all treatments, medications, and supplies; and 2) the POC included education that was to be provided to the…

The agency failed to ensure Skilled Nurses' (SNs) documentation of patient's assessment was accurate and specific to patient's conditions during home visits for two of three patients reviewed (Patient 1 and 2) when: 1. For Patient 1, the skilled nursing visit notes from August 31, September 7…