Horizons Community Care, Inc

The agency failed to provide a copy of written instructions to the patient and caregiver for 3 of 3 home visit observations (Patient 1, 3, & 4), with the potential to affect all patients.

The agency failed to ensure additional precautions were implemented to mitigate the spread of COVID-19 for unvaccinated staff that provide direct patient care and aerosol (suspension of liquid droplets in the air) procedures for 1 of 1 home visit observation.

The administrator failed to ensure the agency met all rules and regulations for recertification for 1 of 1 home health agency.

The agency failed to provide contact information for the administrator to the patient and/or caregiver in 3 of 3 home visits observed.

The agency failed to provide a written copy advising the patients/caregivers of the state's toll-free home health hotline in 3 of 3 home visits observed.

The agency failed to ensure patients received a visit schedule, including the frequency of visits, during observations in 2 of 3 home visits observed.

The agency failed to ensure patients received written information regarding the patient's medication regimen in plain language which also identified who was responsible for giving each medication for 3 of 3 home visits observed, with the potential to affect all patients.

The facility failed to discharge patients when they were no longer able to meet the patient's needs, failed to arrange an appropriate transfer to another agency for 2 of 2 (#3, 8) patients on hold with the agency who were not receiving services, and failed to provide services for patients according…

The agency failed to ensure Outcome Assessment and Information Set (OASIS) data were submitted within 30 days of collection for 3 of 6 clinical records reviewed of patients who qualified for OASIS data collection in 2018. (Patient 10, 11, & 12) Findings include: 1. A policy, effective December 1…

The agency failed to ensure clinicians followed recognized infection control procedures and the agency's policy related to equipment bag technique for 1 of 3 home visit observations.

The Registered Nurse failed to ensure the home health aide was not instructed to perform duties outside their scope of practice for 1 of 4 patients receiving home health aide services.

The facility failed to ensure patient rights were adhered to and that services were provided per the patients plan of care for 2 of 2 (#3, 8) patients on hold with the agency who were not receiving services and 6 of 12 complaints in the 2018 Agency Complaint Log.

The facility failed to discharge patients when they were no longer able to meet the patient's needs, and failed to arrange an appropriate transfer to another agency for 2 of 2 patients on hold with the agency who were not receiving services.

The agency failed to follow their policy and ensured a recertification comprehensive assessment was completed within the last 5 (five) days of every 60 (sixty) day window for 1 of 2 (#1) pediatric records reviewed, and in 1 of 1 (#4) discharged record reviewed, and in 5 of 5 focused record reviews…

The agency failed to ensure all medications, medical supplies, and instructions were included on the plan of care for 2 of 8 records reviewed.

The agency failed to evidence documentation that discharge orders were received from the physician for 1 of 2 patients whose services were placed on hold.

The agency failed to ensure changes in a patients condition was reported and documented to the Registered Nurse (RN) case manager for 1 of 4 patients receiving home health aide services.

The home health aide failed to ensure he/ she followed agency policy and performed duties within the scope of practice of a home health aide for 1 of 4 patients receiving home health aide services.

The facility failed to ensure the Alternate Clinical Manager was available during all operating hours for 2 of 4 days of the survey.

The agency failed to ensure the Alternate Administrator was able to assume the responsibilities and obligations of the Administrator in her absence.

The agency failed to ensure discharge and/or transfer summaries were completed and sent to the primary care physician within 5 business days and to an agency/ or facility within 2 business days of discharge for 3 of 3 records reviewed.