Inhome Healthcare Services

The agency failed to provide 12 hours of in-service training during a 12 month period for home health aide (HHA) 2. This had the potential for HHA 2 to have inadequate training to carry out HHA services.

The agency failed to provide all skilled services ordered within five days of start of care (SOC) for four of 13 sampled patients (Patients 2, 4, 8 and 11) when: 1. Patient 2's occupational therapy (OT) and physical therapy (PT) services were delayed by one day.

The agency failed to follow policy and procedure for verbal orders for four of 13 sampled patients (Patients 2, 3, 5, 7,) when: 1. Physical therapy (PT) and occupational therapy (OT) frequency visits were not verified on physician's order for Patients 2, 5, and 7.

The agency failed to coordinate care delivery to meet the patient's needs for one of five sampled patients (Patient 5) with home visits, when Patient 5's grab bars (safety devices designed to enable a person to maintain balance) were not provided.

The agency failed to include home health aides (HHA) as members of the interdisciplinary team (IDT).

The agency failed to complete a home health aide (HHA) supervisory visit for one of five patients (Patient 4) with HHA services every 14 days.