Home Health Specialty Services, Inc

The agency failed to identify the scheduling and completion of a review of the agency Emergency Preparedness risk assessment and response plan, and failed to identify the participation in an annual testing exercise, including the inclusion of a full scale exercise every 2 years, during the calendar…

The agency personnel failed to utilize accepted infection control practice techniques during a nursing visit.

The agency personnel failed to monitor, evaluate and supervise the Registered Nurse staff, in the delivery of skilled nursing services.

The agency failed to ensure that care delivered was in accordance to the physician ordered plan of care, in accordance to the agency policy.

The home health agency failed to ensure to review and revise of the Emergency Preparedness Plan (EPP) to reflect current CMS (Center for Medicare and Medicaid Services) Emergency Preparedness requirements.

The agency professionals failed to ensure weekly wound measurements were conducted in accordance with the agency policy and for four of eleven patients (Patient #3, #4, #8 and #11) in the survey sample, the agency Registered Nurses (RN) failed to ensure monthly supervision of the Licensed Practical…

The agency's Licensed Practical Nurse (LPN) failed to ensure clinical records were completed on the date service was rendered and incorporated into the patient's record within 7 days.

The agency nurses failed to provide the necessary assessments.

The agency professionals failed to follow the physician-certified plan of care.

Furthermore, a review of Patient #3's clinical record from 07/02/2021 to 08/02/2021, identified RN #2 failed to obtain wound care orders from a physician to treat Patient #3's stage II pressure ulcer.

The agency failed to ensure the supervision of nursing services.

The agency professionals failed to provide on-site supervisory visits at a minimum every two weeks.

The agency failed to notify the physician of a deviation from the plan of care.

The agency skilled professionals failed to follow the agency's own policies and procedures.

The agency staff failed to ensure the plan of care addressed the patient's individualized needs.

The agency professionals failed to follow the physician-certified plan of care.

The agency nurses failed to provide education to the patient and/or next-of-kin on the treatment regimen as needed.

The agency nurse failed to notify the physician of a deviation from the plan of care.