His Grace Home Healthcare, Inc

The Agency failed to conduct the required testing of its Emergency Preparedness plan.

In 8 of 10 reports submitted for the last 12 months, the Agency failed to submit all timely reports, resulting in a warning.

In 3 of 3 (Patients. #1, 2, and 3) clinical records reviewed, the Agency failed to ensure patients were informed in writing of the frequency of visits provided by each discipline.

For 2 of 2 (Patients #2 and #3) closed clinical records reviewed, the Agency failed to ensure that the Plans of Care included all the medications ordered by the Physician.

The Agency failed to ensure the Pt. is informed and/or participated in the frequency of visits provided by each discipline; failed to ensure confidentiality is maintained for documents, related to Pt. services; and failed to provide Pts. the Agency's policies relative to transfer and discharge.

The Agency failed to ensure staff screened Pts. for COVID-19 signs and symptoms prior to providing Pt. care and services; establish a complete Infection Control Surveillance Program relative to COVID-19 that included policies relative to COVID-19 surveillance, Pt. and Physician notification of…

The Agency failed to ensure the medications listed in the clinical record were complete and accurate; forward a copy of the discharge summary to the physician; ensure clinical record documentation was complete and/or accurate; and prevent unauthorized access of Pt. information.

The Agency failed to provide Pts. the Agency's policies relative to transfer and discharge.

The Agency failed to follow the plan of care as ordered by the physician.

The Agency failed to ensure staff screened Pts. for COVID-19 signs and symptoms prior to providing Pt. care and services.

The Agency failed to establish a complete Infection Control Surveillance Program relative to COVID-19 that included, policies relative to COVID-19 surveillance, Pt. and Physician notification of suspected/confirmed exposure to COVID-19. This was found in 1 of 1 (Pts. #7) closed clinical records…

The Agency failed to ensure clinical record documentation was complete and/or accurate.

The Agency failed to prevent unauthorized access of Pt. information.

The Agency failed to ensure the Pt. is informed and/or participated in care.

The Agency failed to ensure confidentiality is maintained for documents, related to Pt. services.

The Agency failed to ensure the POC contained relevant diagnosis, treatment and goals.

The Agency failed to assess Pts.

The Agency failed to ensure the Physician was notified regarding changes in the patient's condition that may warrant a change in the POC.

The Agency failed to ensure the Home Health Aide report Pt. refusals of care tasks to the RN.

The Agency failed to ensure the medications listed in the clinical record were complete and accurate.

The Agency failed to forward a copy of the discharge summary to the Physician.

The Agency failed to ensure an individualized Emergency Plan is developed, documented and available in the clinical record as well as the individual Patient's home.

The Agency failed to ensure the SN provide care, services and/or treatments, as required by the Physician on the POC's.