Home Care Wellness, LLC

The Agency failed to ensure the Registered Nurse followed accepted standards of practice in assuming responsibility for the care in 1 (P-11) of 2 patients requiring LPN supervision, from a total of 17 sampled patient records reviewed (See G 704); failed to incorporate safety parameters in the Plan…

The Agency failed to provide documentation that it had participated in the community based full-scale exercise required every two years, resulting in the potential for patients and staff not to be properly prepared in the event of an actual emergency.

The Agency failed to develop Performance Improvement activities, as part of the Agency's Quality Assessment Performance Improvement program, in order to track and trend adverse patient events, analyze the cause and implement preventive interventions, resulting in the potential for the rendering of…

The Agency failed to ensure its disciplines utilized Infection Control standards of practice during the provision of care and services for 2 (P-3, P-4) of 2 patients observed during home visits from a total of 17 sampled records reviewed, resulting in the potential for the development and spread of…

The agency failed to provide documented evidence to support that all staff, including contracted staff, had received the required education and in-service training in Infection Control, resulting in the potential for the development and spread of infection to staff and all patients currently…

The Agency failed to ensure the Registered Nurse followed accepted standards of practice and failed to responsibly supervise the care in 1 (P-11) of 3 patients with LPN supervision, from a total of 17 patient records reviewed, resulting in unmet patient care needs and a poor clinical outcome.

The Agency failed to ensure the Skilled Nurse prepared clear written patient care instructions for the home health aide regarding client needs, and safety precautions prior to the provision of care in 2 (P-2, P-7) of 4 records in which Home Health Aide services were ordered, from a total of 17…

The Agency failed to ensure that 4 (P-3, P-4, P-8, P-13) of 7 patients observed during home visits, from a total of 17 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided…

The agency failed to ensure the patient received proper written notice/Notice of Medicare Provider Non-Coverage, in advance of terminating on-going care for 2 (P-2, P-12) of 5 patients who were discharged from the agency's services, from a total of 17 sampled records reviewed, resulting in the…

P-5: The patient's start of care was 8/27/24 with diagnoses that included Acute and Chronic Respiratory Failure, CHF AND COPD.

The agency failed to ensure the comprehensive assessment included a review of all the patient's prescribed and over the counter medications for 3 (P-3, P-4, P-8) patients to determine any adverse effects, from a total of 17 sampled records reviewed, resulting in the potential for harmful medication…

The agency failed to ensure that the goals on the Plan of Care were individualized to the patient's specific needs and measurable to determine the patient's progress towards attaining the goals in 11 of 17 (P-2, P-4, P-5, P-8, P-11, P-12, P-13, P-14, P-15, P-16, P-17) records reviewed resulting in…

The agency failed to provide 1 (P-3) of 1 patients observed during home visits, with a Medication Profile that included the names, dosages and frequencies of the patient's prescribed medications, in plain language, from a total of 17 sampled records reviewed, resulting in lack of direction for…

The Agency failed to measure the success of its performance improvement projects to ensure the improvements were sustained, resulting in the potential for the rendering of substandard care and poor patient outcomes.

The Agency failed to ensure skilled nursing (SN) had developed a plan of care (POC) that incorporated safety parameters to effectively monitor for congestive heart failure (CHF), and failed to update the POC during a resumption of care (ROC) due to CHF exacerbation in 1 (P-12) of 2 records reviewed…

The Agency failed to ensure skilled nursing (SN) had provided services as ordered in the plan of care (POC) 1 (P-11) of 3 records reviewed with a hospital transfer, out of a total sample of 17 records reviewed, resulting in unmet patient needs and a poor clinical outcome.

The Agency failed to ensure skilled nursing (SN) communicated with the physician concerning staff not providing services as ordered in the plan of care and failed to notify the physician of a significant change in condition in 1 (P-11) of 3 records reviewed with a hospital transfer, resulting in…

The Agency failed to ensure a discharge summary was complete, provided the patient's health status at the time of discharge, documented progress toward goals and forwarded to the Physician within 5 days of the date of discharge in 2 (P-2, P-12,) of 5 closed records; and failed to ensure the…