Home Nursing Services Inc

The home health agency failed to ensure patients were admitted only when the agency could meet the patient's medical and nursing needs for 2 of 5 active records reviewed (#2, 6), failed to ensure the plan of care included all pertinent diagnoses, the patient's mental, psychosocial, and cognitive…

The home health agency failed to report all branch locations to the state survey agency (See Tag G972), failed to ensure all shared patient agreements contained all shared patient agreements were authorized and signed (See Tag G978), and failed to ensure all shared patient agreements indicated the…

The home health agency failed to ensure the emergency preparedness plan contained procedures to inform State and local emergency preparedness officials of homebound home health patients in need of evacuation.

The home health agency failed to maintain documentation of the agency's self-analysis of 1 of 1 emergency events reported.

The home health agency failed to ensure all necessary medical information pertaining to the patient's current course of treatment was sent to the receiving facility for 1 of 2 transfer records reviewed (#7), in a sample of 8 total records.

The home health agency failed to indicate its quality assurance and performance improvement (QAPI) program documented which quality indicators it would track, and failed to indicate the frequency and method in which quality indicators were to be measured, analyzed, and tracked with an emphasis of…

The home health agency failed to indicate all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#1, 3, 8).

The home health agency failed to ensure an agency-wide infection control program was maintained for the surveillance, identification, prevention, control, and investigation of patient and staff infections, for 13 active patients (Patients #3, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25) and…

The registered nurse (RN) failed to ensure the home health aide (HHA) care plan was individualized with specific, not generic, tasks to be completed for 4 of 5 active records reviewed (#2, 3, 6, 8), in a total sample of 8 records.

The home health agency failed to transfer or discharge a patient when the agency could no longer meet the patient's needs for 1 of 3 discharge records reviewed (#5), in a total sample of 8 records.

The home health agency failed to ensure all complaint investigations and resolutions were documented, and the complainant was notified of the complaint's resolution, for 4 of 29 complaints reviewed which involved patients #4, 5, 10, 11. Findings include: 1. An undated agency policy, titled…

The home health agency failed to ensure all comprehensive assessments included the patients' current health and psychosocial status for 4 of 5 active records reviewed (#1, 3, 6, 8), in a total sample of 8 records.

The home health agency failed to ensure all comprehensive assessments included patients' strengths, progress towards goals, and care preferences for 5 of 5 active records reviewed (#1, 2, 3, 6, 8), in a total sample of 8 records.

The home health agency failed to ensure all comprehensive assessments included individualized patient discharge planning needs for 5 of 5 active records reviewed (#1, 2, 3, 6, 8), in a total sample of 8 records.

The registered nurse (RN) failed to ensure the comprehensive assessment contained a complete review of medications and the medication list was maintained for 5 of 5 active records reviewed (#1, 2, 3, 6, 8), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the presence of the patient's primary caregiver, the caregiver's willingness and ability to provide care, and the caregiver's availability and schedules for 5 of 5 active records reviewed (#1, 2, 3, 6, 8), in a total…

The home health agency failed to ensure the plan of care (POC) included all pertinent diagnoses, the patient's mental, psychosocial, and cognitive status, types of services required, frequency and duration of visits to be made, the patient's rehabilitation potential, activities permitted, a…

The home health agency failed to ensure the skilled nurse and home health aide did not provide services absent a physician order for 3 of 5 active records reviewed (#1, 2, 3), in a total sample of 8 records.

The home health agency failed to ensure the revised plan of care contained the patient's progress towards their goals for 5 of 5 active records reviewed (#1, 2, 3, 6, 8), in a total sample of 8 records.

The home health agency failed to complete coordination of care with other agencies who provided services to the agencies patients for 3 of 3 records reviewed of shared patients (#1, 2, 3).

The home health aides (HHA) failed to follow the plan of care for 2 of 5 active records reviewed (#2, 3), in a total sample of 8 records.

The home health aide (HHA) failed to report a change in the patient's condition to a registered nurse (RN), and failed to document the date, time, and person the HHA notified the change to, for 1 of 5 active clinical records reviewed (#3), in a total sample of 8 records.

The home health agency failed to report all branch locations to the state survey agency for 2 of 2 branch locations [Angola, Indiana, and Bluffton, Indiana]. Findings include: The Home Health Agencies Report, received from the administrator on 8/19/20 at 9:03 AM, indicated the home health did not…

The home health agency failed to ensure all shared patient agreements were authorized and signed for 2 of 3 shared patient agreements (#2, 3), in a total sample of 8 records.

The home health agency failed to ensure all shared patient agreements indicated the primary agency, and failed to ensure all shared patient agreements indicated the division of roles for 3 of 3 shared patient contracts (#1, 2, 3), in a total sample of 8 records.

The agency failed to comply with all applicable Federal, State and local emergency preparedness requirements (Tag E0001); failed to develop an emergency plan that included facility-based and community-based risk assessment, utilizing an all-hazards approach, and that included strategies for…

The agency failed to ensure all staff knew and followed infection control policies and procedures for 1 of 3 home visit observations (#6).

The agency failed to ensure nurses followed the plan of care and provided wound care only as ordered by the physician in 1 of 2 clinical records reviewed of patients receiving wound care (#1).

The agency failed to ensure the physician was notified of additional wounds and that existing wound care orders were clarified in 1 of 2 clinical records reviewed of patients receiving wound care (#1).

The agency failed to ensure the nurse developing the plan of care identified specific locations of wounds for 1 of 2 clinical records reviewed of patients receiving wound care (#1).

The agency failed to ensure nurses followed the plan of care and provided wound care as ordered by the physician in 1 of 2 clinical records reviewed of patients receiving wound care (#1).

The agency failed to ensure nurse visit notes were consistent in identifying the locations of wounds being treated in 1 of 2 clinical records reviewed of patients receiving wound care (#1).

The agency failed to ensure clinical documentation of home health aide (HHA) supervisory visits had been placed into patient records within 14 days for 1 of 2 clinical records reviewed of patients receiving HHA services with a skilled service.

The agency failed to ensure clinical documentation of home health aide (HHA) supervisory visits had been placed into patient records and not created after request for 1 of 2 clinical records reviewed of patients receiving HHA services with skilled service (#2).