Home Bound Care Inc

The Home Health Agency failed to ensure that the Administrator or a pre-designated person is available during all operating hours.

The provider failed to ensure the patient participated in establishing the plan of care; be informed about with respect to any factors that could impact treatment effectiveness and any changes in the care to be furnished on 2 out of 3 Sample Patients (SP).

The provider failed to show that 1 out of 3 (#3) Sample Patients (SP) was advised of the charges for services not covered by Medicare, Medicaid or any other federally-funded or federal aid program and the payments that maybe expected from Medicare, Medicaid or any other federally-funded or federal…

The provider failed to show that 3 out of 3 Sample Patients (SP) individualized plan of care included functional limitations, nutritional requirements, allergies identified, the types of services, supplies and equipment required, the frequency and duration of visits to be made, activities…

The provider failed to coordinate care delivery to meet the patient's needs for 1 out of 3 Sampled Patients (SP).

The facility failed to develop an emergency preparedness plan (Refer 0004); the facility failed to develop an emergency preparedness plan that is based on and include a documented facility-based and community-based risk assessment, utilizing an all hazards approach, contain strategies for…

The provider failed to develop, establish and maintain an emergency preparedness plan that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness plan based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to show that an individualized emergency plan was developed for 2 out of 12 (#1, #7) sample patients (SP).

The provider failed to ensure its emergency preparedness plan included a communication plan that contains how the facility coordinates patient care within the facility, across healthcare providers, and with state and local public health departments.

The provider failed to develop and maintain an emergency preparedness communication plan that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and Volunteers.

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to ensure that its selected alternative means of communication is compatible with communication systems of other facilities, agencies and state and local officials it plans to communicate with during emergencies and the provider failed to show that they had purchased an…

The provider failed to develop and maintain an emergency preparedness training and testing program that is based on its emergency plan.

The provider failed to show that all staff received emergency preparedness training and demonstrated knowledge.

The provider failed to participate in a full-scale exercise that is community-based and/or an individual facility-based exercise; failed to conduct additional exercise and failed to analyze the [facility's] response to and maintain documentation of all drills, tabletop exercises, and emergency…

The provider failed to electronically transmit each OASIS (Outcome and Assessment Information Set) data within 30 days of completing the assessment of the beneficiary for 7 out of 12 Sampled Patients (SP) SP#1, SP#5, SP#6, SP#8, SP#9, SP#10 and SP#11 Findings include: On 03/14/19 the surveyors…

The provider failed to ensure the care follows the written plan of care established by the physician on 1 out of 12 Sampled Patients (SP).

The provider failed to review and revise the plan of care for the patient's immediate care needs for 1 out of 12 Sampled Patients (SP).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 4 Sampled Patients(SP) with home visits made.

The provider failed to show that 1 out of 11 (Staff F) skilled professionals met the appropriate qualifications.

The agency failed to ensure that two of their home health aides (Staff A and Staff B) received at least 12 hours of in-service training during each 12-month period.

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 3 out 12 Sampled Patient (SP).

The provider failed to ensure that 1 out of 5 registered nurses (Staff D) maintained a valid licensed.

The provider failed to ensure that a review of all medications the patient is taking in 5 (SP#1, SP#4, SP#10, SP#11 and SP#12) out of 12 Sampled Patients (SP) with 4 (SP#1, SP#4, SP#11, and SP#12) home visits made.

The provider failed to complete a discharge comprehensive assessment in a timely manner in 1 out of 12 Sampled Patient (SP).

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors on 10 out of 12 Sampled Patients (SP).

The provider failed to have a policy on influenza and pneumococcal vaccines.

The provider failed to document the orders in the patient's clinical record, and sign, date, and time the orders in 2 out of 12 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 2 out of 12 Sampled Patients (SP).

The provider failed to ensure that timely supervision of the Licensed Practical Nurse (LPN) is conducted by the Registered Nurse (RN) in 2 out of 12 Sampled Patients (SP).

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 12 Sample Patients (SP).

The provider failed to ensure the clinical manager maintained the responsibility of making patient and personnel assignments.

The clinical manager failed to coordinate patient care for 2 out 12 Sampled Patients (SP).

The home health agency staff failed to provide service in accordance with accepted professional standards of practice for 1 out of 4 Sampled Patients(SP) with home visits made.

The provider failed to have in the clinical record all clinical notes for service rendered for 3 out of 12 Sampled Patients (SP).

The provider failed to maintain the content of clinical record that includes all interventions rendered by the home health agency staff for 3 out of 12 Sampled Patients (SP).

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…

The provider failed to demonstrate it facilitated a safe transfer through communication and transfer of information to the alternate entity to facilitate continuity of care for 1 out of 3 Sampled Patients (SP).

The provider failed to ensure the care follows the written plan of care established by the physician on 1 out of 3 Sampled Patients (SP).

The provided failed to maintain documentation of an updated plan of care for 1 out of 3 Sampled Patients (SP).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 1 Sampled Patients(SP) with home visit made.

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 1 out 3 Sampled Patient (SP).

The provider failed to ensure that 1 out of 7 employees (staff H) met the qualifications of a case manager.

The provider failed to provide the contact information for the Home Health Agency's administrator, including the administrator's name, business address, and business phone number in order to receive complaints for 2 out of 3 Sampled Patient (SP) actively receiving care from the Home Health Agency.

The provided failed to demonstrate the patient participated in, be informed about and consent in advance of and during treatment, of any changes in the care to be furnished for 1 out of 3 Sampled Patients (SP).

The provided failed to demonstrate the patient receive all services outlined in the plan of care for 1 out of 3 Sampled Patients (SP).

The provider failed to provide proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care for 1 out of 3 Sampled Patients (SP).

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: (i) Agency on Aging, (ii) Center for Independent Living, (iii) Protection and Advocacy Agency, (iv) Aging and…

The provider failed to demonstrate documentation for investigation of care that is (or fails to be) furnished, is furnished inconsistently, or is furnished inappropriately for 1 out of 3 Sampled Patients (SP).

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visit made.

Base on record review and interview, the provider failed to complete a comprehensive resumption of care (ROC) assessment within 48 hours of the patient's return to the home from a hospital admission in 1 out of 3 Sampled Patients (SP).

The provider failed to have an accurate and completed individualized plan of care for 3 out of 3 Sampled Patients (SP).

The provider failed to consult the physician the patient's condition or needs that suggest the plan of care should be altered for 1 out 3 Sampled Patients (SP).

The provider failed to have a revised plan of care that must reflect current information from the patient's updated comprehensive assessment for 1 out of 3 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).

The provider failed to have in the clinical record all of the assessments from the most recent home health admission, clinical notes, plans of care, and physician orders for 2 out of 3 Sampled Patients (SP).

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…