Home Health Care Solutions LLC

The agency failed to implement a nationally recognized standard for transmission of communicable diseases as related to tuberculosis screening of employees of a home health agency.

The agency failed to ensure physician wound orders were followed according to the plan of care for 1 of 1 active clinical record review with a home visit of a Skilled Nurse providing wound care.

The agency failed to ensure transfer summaries were sent to the physician or health care entity providing care for 3 of 3 discharged records reviewed who transferred to an inpatient facility.

The agency failed to ensure accepted standards of practice were followed, including the use of standard precautions, to prevent the transmission of infections and communicable diseases, during 3 (Patient's #2, 12, and 13) of 7 home visits.

The agency failed to ensure the comprehensive assessments were complete and accurately reflected the patients' status, including current health and functional status which was required to plan care to meet the patients' needs are being met in 12 (Patients 3, 5, 6, 7, 8, 11, 15, 16, 1, 2, 4, and 13)…

The agency failed to ensure comprehensive assessments contained patient stated goals and care preferences in 14 (Patients 3, 5, 6, 7, 8, 11, 15, 16, 1, 2, 4, 10, 12, 13) of 14 active records reviewed in a sample of 19.

The agency failed to ensure the plan of care was created in conjunction with the primary care physician after an assessment, verbal start of care and recertification orders obtained from the physician for 12 (Patients 1, 2, 3, 4, 5, 6, 7, 8, 11, 13, 15, and 16) of 14 active records reviewed in a…

The agency failed to ensure the plan of care was reviewed and revised by the physician who was responsible for the plan of care every 60 days, or as the patient's condition warrants for 10 (Patients 1, 2, 4, 10, 13, 5, 8, 11, 15, and 16) of 14 active records reviewed in a sample of 19.

The agency failed to ensure the ordering physician was contacted for changes in the patient's condition and/or failed to notify the ordering physician for needs that suggested outcomes were not being met and that the patient's plan of care should be altered in 3 (Patients #1, 4, and 13) of 14…

The Administrator failed to be responsible for the day to day operation of the home health agency in regards to ensuring complete documentation on initial comprehensive assessments and re-assessments, ensuring patient care plans were collaborated by the staff with the physician every 60 days…

The agency failed to ensure the comprehensive assessment contained all pertinent information of the patient's wounds in order to accomplish goals in 1 of 2 records reviewed of patients with wounds in a sample of 17. (#14) Findings included: An undated agency policy, titled, "Initial Assessment"…

The agency failed to ensure the plan of care contained all supplies and equipment needed in the patient's home for 8 of 17 records reviewed.

The skilled nurse failed to document wound measurements and descriptions during visits in 1 of 2 records reviewed of patients with wounds in a sample of 17. (#14) Findings included: An undated agency policy, titled, "On-Going Assessment", stated that during each home revisit, each discipline…

The agency failed to ensure initial assessments were delineated within their start of care comprehensive assessments in 2 out 2 focused records reviewed in a sample of 4. (#1 and 3) Findings include: 1. During an interview with the DOCS on 7/10/18 at 2:35 p.m., the DOCS indicated all initial…

The agency failed to ensure patients were accepted for care on the basis of a reasonable expectation that the patient's health needs could be adequately met by the home health agency in the patient's place of residence in 1 of 3 records reviewed of patient's being discharged and transferred to…

The agency failed to ensure patients were informed in advance of changes in the care to be furnished in relation to the agency's intent to discharge and transfer to another agency in 2 of 3 records reviewed of patients discharged and transferred to another agency in a sample of 4. (#1 and 3)…

The agency failed to ensure the skilled nurse documented their efforts in providing education to caregivers, such as tasks that were being provided, if return demonstration had been observed and the outcome of the task being done in 1 of 1 record reviewed of a patient having caregiver assistance…