Kansas City Palliative Home Care

The home health provider failed to ensure the plan of care (POC) was individualized and included all patient-specific nutritional requirements, interventions, and treatments, and failed to sufficiently address the patient’s specific functional status and care needs in four of five full records…

The home health provider failed to ensure services were provided in accordance with the plan of care (POC) in one of five full records reviewed (Record/Patient #1).

The home health provider failed to provide a discharge summary to the primary care physician after discharge within five business days of the patient’s discharge in two of three discharge records reviewed (Records/Patients #5 and #7).

The agency failed to ensure that staff follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in one (Record/Patient #3) of three home visit observations.

The agency failed to provide written notice of the correct state toll free home health hotline number hours of operation.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure the individualized plan of care include patient specific interventions and measurable outcomes and goals in two (Records/Patients #2 and #3) of five applicable records reviewed.

The agency failed to provide the patient a copy of written instructions outlining the patient's medication schedule/instructions, to include the name, dosage, frequency and which medication would be administered by the agency personnel in one (Record/Patient #1) of three home visit observations.

The agency failed to document the complete investigation and resolution in one (Patient #3) of one complaint received.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights of the patient and representative (if any) regarding contact information for the home health agency administrator, to receive…

The agency failed to advise the patients of the names, addresses, and telephone number of the Quality Improvement Organization (QIO) that serves the area where the patient resides.

The agency failed to update the written notice of patient rights and the agency discharge and transfer policies to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 regarding the patient rights when the agency determines that the patient or other persons in the home has behavior that is disruptive, abusive or…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include information that if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must document the problem and efforts made to resolve the…

The agency failed to complete the initial assessment of the patient within 48 hours of the referral to home care, or 48 hours after the patient's return home, or the physician ordered start of care date in two (Patients/Records #3 and #5) of five records reviewed.

The agency failed to ensure the patient's current health, psychosocial, functional, and cognitive status were assessed in two (Patients/Records #4 and #5) of five records reviewed.

The agency failed to ensure the patient's strengths, goals, and care preferences, including information that may be used to demonstrate the patient's progress toward achievement of the goals identified by the patient were assessed/documented as part of the patient's comprehensive assessment in two…

The agency failed to ensure an accurate medication reconciliation was completed in, but not limited to, two (Records/Patients #3 and #5) of five full records reviewed.

The agency failed to ensure the patient had a complete plan of care in, but not limited to, two (Patients/Records #4 and #5) of five records reviewed.

The agency failed to ensure each patient received written information related to the visit schedule/instructions, in two (Records/Patients #2 and #3) of three home visits conducted.

The agency failed to ensure each patient received updated/current written instructions related to the patient's medication schedule in, but not limited to, one (Record/Patient #3) of three home visit observations.

The agency failed to provide the patient and/or caregiver a copy of written instructions outlining the patient's wound care in one (Record/Patient #3) of three home visit observations.

The agency failed to ensure each patient received written information related to the name and contact information of the home health agency's clinical manager in one (Record/Patient #2) of three home visits.

The agency failed to ensure services were provided in accordance to the patient's plan of care in, but not limited to, two (Records/Patients #1 and #3) of five records reviewed.

The agency failed to develop an individualized plan of care to ensure the home health aide (HHA) provided services that were ordered by the physician in one (Record/Patient #3) of one applicable record.

The agency failed to adequately address whether the home health aide followed the plan of care in one (Record/Patient #3) of one applicable record reviewed that received home health aide (HHA) services.

The agency failed to ensure that agency staff obtained a copy of the patient's advance directive in, but not limited to, one (Record/Patient #5) of five records reviewed.

The agency failed to send a completed transfer summary to the health care facility within two business days of becoming aware of an unplanned transfer in two (Records/Patients #1 and #4) of five records reviewed.