Interim Healthcare

The agency failed to include all treatments, pertinent diagnoses specific interventions and goals as relevant to the plan of care for three out of 10 sampled patients, (Patient 1, Patient 4, and Patient 10).

The agency failed to ensure that three of 10 sampled patients (Patient 1, 4, and Patient 8), was evaluated by a discipline ordered by the referring physician, and was included in the Plan of Care (POC) when: 1. Patient 1, and Patient 4 did not receive a Medical Social Worker (MSW) evaluation to…

The agency failed to ensure that three of 10 sampled patients (Patient 3, 4, and Patient 5), was assessed by a Registered Nurse (RN) within 48-hours of their referral for home health care, and to notify the physician when there was a delayed start of care (admission to agency).

The agency failed to review and document all medications in the home for one out of 10 sampled patients, (Patient 8) during a home visit to include in the clinical record and for the physician to review for interactions.

The agency failed to ensure one of 10 sampled patients (Patient 4) had a Resumption of Care (ROC, a Registered Nurse assessment for the patient to resume care and home health orders) completed after a hospitalization within 48-hours.

The agency failed to identify and update the physician of a significant change in condition for one of 10 sampled patients (Patient 4).

The agency failed to ensure that 10 out of 10 patients (Patient 1, 2, 3, 4, 5, 6, 7, 8, 9, and Patient 10) had Interdisciplinary team (IDT, a group of health care professionals who work together to provide care for the patient) ongoing assessments documented in the clinical record to ensure the…

The agency failed to provide Registered Nurse (RN) oversight for a Home Health Aide (HHA) providing direct care in the home for one of 10 sampled patients, (Patient 4) every 14-days.

The facility failed to follow accepted standards of practice to prevent the transmission of disease when: Bag technique was not followed during one of three observed home visits.Patient care equipment was not properly sanitized between patients.

The facility failed to develop and/or implement a policy and procedure (P&P) to ensure that all facility staff who provide any care, treatment, or other services for the facility and/or its patients are fully vaccinated for COVID-19 (an illness that can cause severe symptoms and in some cases…

The facility failed to document both the existence of complaints, and the resolution of complaints when the facility did not track complaints or use their established complaint forms, and managed complaints using staff discussion.

The facility failed to provide physician-ordered services as described in the plan of care when: Three of 10 sampled patients (Patients 1, 3, and 6) had a total of five scheduled visits that were not made, no other visits were made to complete the visit frequency, and the physician was not informed…

The agency did not ensure that they followed two of 12 sampled patients (Patient 2 and 6) plan of cares (physician's orders), when the facility did not notify the physician when there was a change to the patient's plan of care.

The facility failed to ensure that one of 12 sampled patients (Patient 10) had an updated medication profile.

The facility failed to ensure three of 12 sampled patient's (Patients 1, 5, and 10) had complete and accurate individualized plans of care (physician's orders), in order to meet their needs.

The facility failed to ensure that one of 12 sampled patients (Patient 10) had an updated, complete, and accurate individualized plan of care.

This agency failed to ensure that one of 12 sampled patients (Patient 2) received services that were ordered by the physician.

This agency failed to ensure that documentation was completed and entered into the record in a timely fashion for four of 12 sampled patients (Patients 1, 3, 7, and 9), when visit notes were completed over 48-hours after the visits were conducted.

The agency failed to ensure the development, implementation, and updates to one of 12 sampled patients (Patient 1) plans of care (physician's orders), when it was not signed, and returned by the physician, within thirty (30) working days as required by State law.