Hope Home Health Care Inc

The agency failed to follow agency policy regarding the discharge planning process to include communicating with the physician to determine the physician was in agreement with the measurable outcomes have been achieved, providing the physician the discharge summary within 5 business days of…

The agency failed to ensure the accuracy of OASIS data collected in 1 of 1 record reviewed of a discharge per patient request (Patient #2).

The agency failed to ensure services were provided as directed in the plan of care in 2 of 5 clinical records reviewed.

The agency failed to ensure the governing body approved the frequency and detail of the data collection for the quality assurance and performance improvement (QAPI) program.

The agency failed to ensure the performance improvement activities led to an immediate correction of identified problem that threatened the health and safety of patients.

The agency failed to document a performance improvement project (PIP) undertaken and failed to document the reason for considering the project and the measurable progress achieved.

The agency failed to provide written patient care instructions in 1 of 1 clinical record reviewed with thickened liquid orders.

The agency failed to ensure the home health aide (HHA) accurately documented in the clinical record in 3 of 3 clinical records reviewed with HHA services.

The agency failed to provide the patient right to be free from verbal abuse in 1 of 1 clinical record reviewed with a complaint investigation of abuse.

The agency failed to ensure patient goals were met by the time of discharge in 4 of 4 records reviewed discharged due to “goals met” (Patient #1, 3, 4, 5).

The agency failed to ensure the comprehensive assessment included the status of the intravenous catheter (IV, a tube inserted into the bloodstream to deliver medications) in 1 of 1 clinical record review with an IV.

The agency failed to ensure the comprehensive assessment included the ability, willingness, and availability of the primary caregiver is 3 of 5 clinical records reviewed.

The agency failed to conduct a comprehensive assessment at time of discharge in 1 of 4 records reviewed for discharge due to goals met.

The agency failed to ensure the plan of care included all necessary components in 5 of 5 clinical records reviewed (Patient #1, 2, 3, 4, 5).

The agency failed to ensure clinicians signed, dated and timed the verbal orders received and failed to ensure the verbal orders were authenticated and dated by the physician in 2 of 5 clinical records reviewed.

The agency failed to ensure the physician reviewed the plan of care no less than every 60 days in 1 of 1 clinical record reviewed with more than 1 certification period.

The agency failed to promptly alert the physician to changes in the patient’s condition or needs in 2 of 5 clinical records reviewed.

The agency failed to coordinate care between all entities and disciplines providing care to the patient in 3 of 5 closed clinical records reviewed.

The agency failed to provide the patient pertinent instruction related to care and treatments in 1 of 1 post-surgical patients (Patient #2).

The skilled professional failed to document complete and clear clinical notes in 1 of 5 clinical records reviewed (Patient #5).

The agency failed to ensure the registered nurse (RN) provided supervision of the home health aide (HHA) in 3 of 3 clinical records reviewed with HHA services.

The agency failed to ensure goals were patient-specific and individualized for 1 (Patient #1) of 7 active records reviewed.