Hometown Homecare

The home health provider failed to follow accepted standards of practice, in hand hygiene, to prevent the transmission of infections in, one of three home visit observations conducted (Record/Patient #3).

The home health provider failed to maintain an accurate, updated medication profile in one of three home visit observations conducted (Record/Patient #2).

The agency failed to ensure drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner in one (Record/Patient #2) of three records reviewed.

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information.

The agency failed to provide an individualized, written plan of care specifying the care and services that met the requirements for the Condition of Participation: Care Planning, coordination of services and quality of care.

The agency failed to ensure the written patient rights information included; information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities, including accessible web sites and the provision of auxiliary aids services, that are at no…

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to update the written notice of patient rights to include: - Rights and responsibilities that are understandable to persons who have limited English proficiency; and - Rights and responsibilities accessible to individuals with disabilities.

The agency failed to provide written notice of patient rights regarding their right to have a copy of the patient's rights and responsibilities provided to a patient-selected representative within four business days of the initial evaluation visit.

The agency failed to ensure the patient was advised orally and in writing of the extent to which payment for services may be expected from Medicare, Medicaid, or any other federally-funded aid program, the charges of services that may not be covered.

The agency failed to ensure staff provided the written notice of the updated state toll free home health telephone hotline hours of operation (7:00 AM to 8:00 PM, seven days a week) in the admission folder in three (Record/Patient #1, #2, and #3) of three home visit observations.

The agency failed to provide written notice of patient rights to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for providing care after discharge, that a discharge for cause is being considered.

The agency failed to provide written notice of patient rights to include the agency must make efforts to resolve the problem(s) presented by the patient’s behavior, the behavior of other person’s in the patient’s home, or situation.

The agency failed to provide written notice of patient rights to include that if the patient is being considered for discharge for cause, the agency must provide the patient and representative (if any), with contact information for other agencies or providers who may be able to provide care after…

The agency failed to provide written notice of patient rights to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for discharge for cause.

The agency failed to ensure the patient's current health status was assessed and documented in, but not limited to, one (Patient/Record #2) of five records reviewed.

The agency failed to ensure an accurate medication reconciliation was performed in, but not limited to, one (Record/Patient #2) of three home visits.

The agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, four (Record/Patient #1, #3, #4, and #5) of five full record reviews.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in, but not limited to, two, (Records/Patients #1 and #5) of five records reviewed.

The agency failed to ensure staff were provided annual Emergency Preparedness training in two (Employee #1 and #4) of five employee files reviewed.

The agency failed to ensure staff followed infection control standards in one (Record/Patient #3) of three home visit observations.

The agency failed to ensure staff were provided annual Infection Control training to one (Employee #1) employee of five employee files reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient's medication profile occurred when there were new/changed medications in, but not limited to, two (Records/Patients #2 and #3) of five records reviewed.

The agency failed to include individualized care instructions on the plan of care in one (Record/Patient #3) of five records reviewed.

The agency failed to ensure staff were provided other agency in-service training in one (Employee #1) of five employee files reviewed.

The agency failed to ensure that the registered nurse (RN) evaluated the home health aide for all of the required elements during the home health aide supervisory visits in, but not limited to, one (Record/Patient #4) of five records reviewed.

The agency failed to: - Request and obtain results of findings of the Employee Disqualification List (EDL) prior to hire in three employees (Employee #1, #3, and #4); - Request and obtain results of findings of the Family Care Safety Registry (FCSR) prior to first patient contact for one employee…