Alternate Solutions Home Health-Fairfax

The agency failed to ensure each patient received home health services as ordered by the physician in the patient's individualized plan of care for two (2) of seventeen (17) clinical records in the survey sample (Clinical records #'s 1 and 11) The findings: Seventeen electronic clinical records…

Agency staff failed to develop and implement policies and procedures regarding a COVID-19 contingency plan for unvaccinated staff.

The agency failed to provide the contact information for the correct HHA (home health agency) Administrator in order to receive complaints.

The agency failed to ensure patients were informed about and consented to the frequency of proposed visits in advance of starting care for four (4) of (17) patients in the survey sample (Clinical records #'s: 3, 13, 15 and 16).

The agency failed to ensure accurate and complete medication lists were documented in three (3) of (17) clinical records reviewed in the survey sample (clinical record #'s 2, 5, and 17).

The agency failed to send the patient's transfer summary within 2 business days of becoming aware of an unplanned transfer for two (2) of five (5) closed clinical records reviewed in the survey sample.

The agency failed to ensure each patient's plan of care was followed (refer to G572); failed to ensure all physician orders were recorded in the plan of care (refer to G576); and failed to provide care only as ordered by a physician (refer to G580).

The agency failed to ensure that each patient received the home health services in accordance with the written plan of care in six (6) of seventeen (17) patients whose clinical records were reviewed: Patients #6, 7, 10, 11, 12, and 14. Findings: Seventeen (17) clinical records were reviewed in the…

The agency failed to ensure each patient participated in and was informed about the care to be furnished by the HHA.

The agency failed to ensure each patient received all services outlined in the plan of care in five (5) of seventeen (17) clinical records reviewed in the survey sample.

The agency failed to ensure all patient care orders were recorded in the plan of care in one (1) of seventeen (17) clinical records reviewed in the survey sample.

The agency failed to ensure all services and treatments were administrered only as ordered by a physician in two (2) of seventeen (17) clinical records reviewed in the survey sample.

The agency failed to take actions aimed at performance improvement, and after implementing those actions failed to ensure such improvement was sustained.

The agency failed to provide care as ordered by a physician.

The agency failed to develop an emergency preparedness plan based on a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach to include strategies for addressing emergency events identified by the risk assessments.

The agency failed to document a description of their patient/client population, including but not limited to, persons at-risk.

The agency failed to ensure their emergency preparedness plan contained a policy and procedure regarding a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The agency failed to include the names and contact information for the following in their emergency preparedness communication plan: (1) Staff.

The agency's emergency preparedness plan failed to contain a documented, facility-based risk assessment and a community-based risk assessment, utilizing an all-hazards approach to include strategies for addressing emergency events identified by the risk assessments.

The agency's emergency preparedness communication plan failed to contain a method for sharing information and medical documentation for patients under the agency's care, as necessary, with other health providers to maintain the continuity of care and a means of providing information about the…

Agency staff failed to follow physician orders on the plans of care for two (2) of seventeen (17) patients whose records were reviewed in the survey sample (patients #4 and 16).

The agency staff failed to provide coordination of care for one (1) of seventeen (17) patients whose records were reviewed in the survey sample (patient #14).

The agency failed to ensure patients were informed at the time of admission of the disciplines that would provide care and the frequency of visits for seventeen (17) of seventeen (17) patients in the survey sample (Patients #1-17).

The agency failed to ensure their admission packet contained the address and telephone number of the Agency on Aging, a Federally-funded and state-funded entity which serves patients in the location where the patients reside.

The agency failed to ensure the patient's medication profile(s) contained the route of administration and a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects…

Agency staff failed to ensure plans of care contained measurable goals, contained patient stated goals and contained all medications and treatments ordered by the physician for seventeen (17) of seventeen (17) patients whose records were reviewed in the survey sample (Patients #1-17).

The clinical records it was determined agency staff performed care without obtaining a physicians order for one (1) of seventeen (17) patients whose records were reviewed in the survey sample (Patient #13).

The agency failed to ensure professional staff promptly alert the patient's physician to any changes that suggest a need to alter the patient's plan of care in one (1) of 17 clinical records reviewed in the survey sample (Clinical record: #16) The findings: Clinical records were reviewed in the…

The agency failed to ensure annual onsite home health aide (HHA) supervisory visits were completed in three (3) of five (5) HHA personnel files reviewed in the survey sample.

The agency failed to send the patient's transfer summary and/or a discharge summary to the primary care physician within 5 business days of discharge or within 2 days of transfer for three (3) of five (5) discharged patients and three (3) of four (4) transferred patients in the survey sample…

The agency failed to document and investigate complaints for one (1) of five (5) patients whose records were reviewed in the survey sample (patient #3) The findings were: A review of the clinical records in the agency on 12/03/18 revealed a complaint related to patient #3 had been received on…

The agency failed to send a transfer summary or a discharge summary to the appropriate health care professionals for one (1) of five (5) patients whose records were reviewed in the survey sample (patient #3).