Kare Masters Home Health, LLC

The home health agency failed to develop an Emergency Preparedness Plan using a facility-based and community-based risk assessment, and utilizing an all-hazards approach, resulting in the potential to negatively affect all patients and employees seen by the agency.

The agency failed to develop and maintain an Emergency Preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, and the communication plan.

The agency failed to provide training in emergency preparedness policies and procedures based on an all-hazards risk assessment, to agency staff, including contract employees and volunteers, and failed to maintain documentation of training, resulting in the potential for inappropriate, unprepared…

The Home Health Agency (HHA) failed to ensure the frequency of visits ordered on the Plan of Care (POC) were followed in 3 of 10 records reviewed (P-1, 4, 6) from a total sample of 10 records reviewed, resulting in the potential for unmet patient needs.

The agency failed to ensure the plan of care included objectively measurable goals specific to the individualized needs of the patient in 10 (MR's # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10) records, from a total of 10 sampled records reviewed, resulting in the potential for poor patient outcomes and unmet…

The agency failed to ensure occupational therapy (OT) services were provided as ordered by the physician in the plan of care for 1 of 2 (P-5) records reviewed with OT services ordered from a total of 10 records reviewed, resulting in the potential for physical decline and negative patient outcomes.

The agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, and progress toward goals in 1 of 3 (P-5) records in which the patient was discharged/transferred from the agency's services, from a total of…

The agency failed to ensure that a patient observed during a home visit was free from abuse from home health staff for 1 of 3 records reviewed, resulting in misappropriation of the patient's property, violation of the patient's right to safety and unmet care needs (G430); failed to ensure the…

The agency failed to ensure 2 of 2 home health aides employed by this agency were qualified to provide care and services and had completed a training and competency evaluation program, resulting in the potential for the provision of substandard, unsafe care and unmet care needs (G754); failed to…

The Agency failed to ensure that the individuals who furnished Home Health Aide services on its behalf met competency evaluation requirements in 2 of 2 Home Health Aide personnel records reviewed, resulting in the potential for the provision of substandard, unsafe care and unmet care needs.

The agency failed to ensure that 2 of 2 home health aides employed by this agency, received the required 12 hours of annual in-service training, resulting in the potential for the rendering of substandard care and unmet care needs.

The agency failed to ensure the Skilled Nurse prepared clear written patient care instructions regarding patient needs and safety precautions for 1 (P-1) of 2 patients who required assistance with grooming, from a total of 3 sampled records, resulting in the potential for the provision of unsafe…

The agency failed to ensure 1 (P-1) of 1 patient observed during a home visit was free from abuse from home health staff and failed to ensure the patient was safe pending the outcome of the investigation, from a total of 3 sampled records reviewed, resulting in misappropriation of the patient's…

The Agency failed to ensure the patient received written notice/Notice of Medicare Provider Non-Coverage, in advance of the agency terminating on-going care for 1 (P-3) of 1 discharged record, from a total of 3 sampled records reviewed, resulting in the patient being denied the right to appeal the…

The Agency failed to ensure that all complaints were fully investigated in 1 (P-1) of 1 complaint reviewed, resulting in unresolved concerns and the potential for the provision of substandard care.

The Agency failed to provide documented evidence of the existence of complaints received, details of the investigation and the resolution of the complaints, resulting in the potential for unaddressed patient/family concerns, continuation of the alleged concern, inability to exercise one's rights…

Agency failed to ensure all treatments and services were administered only as ordered by the physician for 1 (P-1) record, from a total of 3 sampled records reviewed, resulting in the potential for the rendering of unsafe, inappropriate, unauthorized care and poor patient outcomes for all patients…

The agency failed to ensure 2 of 2 home health aides employed by this agency were qualified to provide care and services and had completed a training and competency evaluation program, resulting in the potential for the provision of substandard, unsafe care and unmet care needs.

The agency failed to ensure the skilled discipline conducted onsite supervisory visits at least every 14 days for 1 (P-1) of 1 patient ordered to receive home health aide services, from a total of 3 sampled records reviewed, resulting in lack of needed oversight and the provision of unsupervised…