Heritage Health Care Services

The agency failed to ensure patients received the home health services as written in the plan of care (G572).

The agency failed to ensure the governing body assumed the full legal authority and responsibility for the agency's overall management and operation (G942).

The agency failed to ensure patients received the home health services as written in the plan of care for three of 17 medical records reviewed (Patient #7, #8, and #16).

The agency failed follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for one patient observed with a dressing change (Patient #4).

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that included a method for identifying infectious and communicable disease problems for seven personnel files reviewed…

The agency failed to ensure the governing body assumed the full legal authority and responsibility for the agency's overall management and operation.

The agency failed to ensure the home health agency, under the direction of the governing body, prepared an overall plan and budget that included an annual operating budget and capital expenditure plan that was reviewed and updated at least annually by a committee consisting of representatives of…

The agency failed to ensure the plans of care included prognosis, risk and interventions to prevent emergency department/hospital readmission, education and training to facilitate discharge, and advance directives for one of 17 medical records reviewed (Patient #8).

The agency failed to ensure all patient care orders were recorded in the plan of care for one of 17 patients reviewed (Patient #14).

The agency failed to promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for one of 17 patients reviewed (Patient #13).

The agency failed to provide home health supervisory visits by a skilled professional no less frequently than every 14 days for patients receiving skilled services for three of three patients reviewed who were receiving home health aide services and skilled services (Patient #1, #9 and #14).

The agency failed to ensure an Administrator was appointed by the governing body.

The agency failed to ensure an Administrator was responsible for all day to day operations of the home health agency.

The agency failed to ensure the agency employs qualified personnel for nine of nine personnel files reviewed (Staff C, D, H, I, J, K, L, M and N).

The agency failed to ensure when the Administrator was not available, that there was a predesignated person authorized in writing by the Administrator and the governing body to assume the Administrator's responsibilities and obligations.

The agency parent location failed to provide direct support and administrative control of it's branch.

The agency failed to ensure services provided to it's patients were ordered by a physician.

The agency failed to ensure supervision of the home health aide at least every 14 days when a skilled service is being provided as well.