Horizon Home Health (Horizon Pediatric Home Care)

The home health agency (HHA) failed to ensure each patient’s comprehensive assessment was updated every 60 days or, within 48 hours of a patient’s return following a hospital admission, and the updates included a medication review.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The home health agency (HHA) failed to assume full legal authority and responsibility for the governance and operation of the agency.

The home health agency (HHA) did not ensure individual emergency preparedness plans (IEPs) were developed for patients during a natural or man-made disaster or emergency.

The home health agency (HHA) did not ensure that personnel received training in its emergency preparedness policies and procedures.

The agency did not ensure the quality assessment and performance improvement (QAPI) program included tracking and analysis of quality indicators.

The home health agency (HHA) did not ensure that infection control education was provided to staff.

The home health agency (HHA) did not ensure that all patient medications had been reviewed in order to identify any potential adverse effects and drug reactions as part of the comprehensive assessment.

The home health agency (HHA) did not ensure that each patient's comprehensive assessment was updated no less frequently than the last 5 days of every 60 days beginning with the start-of-care date.

The home health agency (HHA) did not ensure that all patients had an updated assessment within 48 hours of the patient's return from a hospital admission.

The home health agency (HHA) did not ensure each patient's plan of care (POC) contained all the required elements for 7 of 7 sampled patients.

The home health agency (HHA) did not ensure that all services and treatments were administered only as ordered by a physician.

The home health agency (HHA) did not ensure that plans of care (POC) were reviewed and revised by the physician as frequently as the patient’s condition or needs required, but no less frequently than once every 60 days.

The home health agency (HHA) did not ensure they hired qualified personnel.

The home health agency (HHA) did not ensure discharge and/or transfer summaries were completed for patients who had been discharged or transferred.

The agency failed to fully implement, maintain, and document an infection control program.

The agency did not ensure staff followed accepted standards of practice to prevent transmission of infections and communicable diseases.

The agency did not maintain a coordinated agency-wide program for surveillance, identification, prevention, control, and investigation of infections and communicable diseases.

Specifically, required observation of the aide's performance with a patient prior to furnishing home health services on behalf of the agency was not documented as being completed.

The home health agency (HHA) did not ensure each patient's plan of care (POC) contained all the required elements for 10 of 10 sampled patients.

The home health agency (HHA) did not alert the physician to changes in the patient's plan of care, or update/revise the plan of care (POC) accordingly.