Kidcare Nursing Services

The home health agency failed to have a documented discharge summary within the records of Sample Patient #1. Findings Include: Record review of the home health agencies discharged patients revealed that 1 patient has been discharged from services in the past 3 months.

The home health agency (HHA) failed to provide documentation demonstrating the scope, complexity, and past performance of the HHA's services and operations, and the quality improvement projects undertaken, the reasons for conducting the projects, and the measurable progress achieved on these…

The agency was unable to provide documentation that showed an ongoing program for quality improvement and patient safety was implemented and maintained.

The agency failed to provide all services stated within the individual plans of care for 2 out of 7. Sampled Patient’s (SP), SP #6 and SP#7. Findings include: The surveyor conducted chart reviews on SP#6 and SP#7, as well as calendar review confirmed that 24 hours/7 days a week nursing services…

The home health agency failed to ensure the plan of care included all medications, treatments, and nutritional requirements for 1 (SP#3) out of 7 patients reviewed.

The home health agency failed to ensure staff followed the physician ordered plan of care for 4 out of 7 Sampled Patient’s (SP).

The home health agency failed to ensure 7 out of 7 sampled patients (SP#1, SP#2, SP#3, SP#4, SP#5, SP#6, and SP#7) were provided with the frequency of visits to be provided.

The Director of Nursing the agency failed to follow the Plan of Care for 3 out of 7 Sampled Patients (SP).

The home health agency failed to demonstrate that they have been conducting Quality Assurance measures.

The provider is unable to demonstrate a completed discharge summary for 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to ensure that 1 out of 9 personnel files reviewed contained a current Registered Nurse (RN) license.

The Home Health Agency failed to ensure that the administrator or a pre-designated person is available during all operating hours.

The Home Health Agency failed to evaluate the Home Health Aide (HHA)'s performance while carrying out the following task with a patient or pseudo-patient.

The Home Health Agency failed to show that 1 out of 3 Home Health Aides received at least 12 hours of in-service training during each 12-month period.

The Home Health Agency failed to ensure that the Home Health Aides (HHAs) followed the written care instructions prepared by the Registered Nurse (RN) or other appropriate skilled professional for 1 out 4 Sampled Patients (SP) reviewed.

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care in order to observe and assess a Home Health Aide (HHA).

The Home Health Agency failed to ensure documentation were complete for 1 out of 4 Sampled Patients (SP) reviewed.

The Home Health Agency failed to ensure that a Home Health Aide (HHA) conformed with the physician's order for 1 out 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that the Home Health Aide (HHA) documented the time for services provided to 1 out 3 Sampled Patient (SP).

The Home Health Agency failed to advise 2 out of 3 Sampled Patients (SP): The extent to which payment for Home Health Aide (HHA) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA; The charges for services that may not be covered…

The Home Health Agency (HHA) failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to include in the Plan of Care (POC) information related to the description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors and information related to any advanced…

The Home Health Agency failed to have a revised plan of care that reflects current information from the patient's updated comprehensive assessment, and contain information concerning the patient's progress toward the measurable outcomes and goals identified by the HHA and patient in the plan of…

The Home Health Agency failed to ensure that any revision to the plan of care due to a change in patient health status must be communicated to the patient, representative (if any), caregiver, and all physicians issuing orders for the HHA plan of care.

The Home Health Agency failed to ensure communication with all physicians involved in the plan of care in 1 out of 3 sample patients (SP).

The Home Health Agency failed to ensure there is communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care in 1 out of 3 sample patients (SP).

The Home Health Agency (HHA) failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually (E0004).

The Home Health Agency (HHA) staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases (G682).

The provider failed to develop, establish and maintain a comprehensive emergency preparedness plan that must be reviewed and updated at least annually.

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

The provider failed to develop an emergency preparedness plan that addresses patient/client population, the type of services the [facility] has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.

The provider failed to develop an emergency preparedness plan that include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan addressed the procedures to inform State and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and psychiatric…

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop emergency preparedness policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures that must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the following: Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and…

The provider failed to ensure its emergency preparedness communication plan included contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop and maintain an emergency preparedness communication plan that include method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care.

The provider failed to develop and maintain an emergency preparedness communication plan that include a means of providing information about the occupancy, needs, and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to conduct initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role; provide emergency preparedness training at least annually; maintain…

The provider failed to participate in a full-scale exercise that is community-based and/or an individual facility-based exercise; failed to conduct additional exercise and failed to analyze the [facility's] response to and maintain documentation of all drills, tabletop exercises, and emergency…

The provider failed to ensure that an accurate and complete OASIS (Outcome and Assessment Information Set) data is electronically transmitted at least monthly on 2 out of 7 Sampled Patients (SP).

The provided failed to notify the physician of a review and revision of the plan of care for 1 out of 7 Sampled Patients (SP).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure that one of the home health aide (Staff F) had successfully passed a competency evaluation prior to providing care to patients for 1 out of 7 staff reviewed.

The agency failed to ensure that two of their home health aides (Staff E and Staff G) receive at least l2 hours of in-service training during each 12-month period.

The provider failed to ensure that the written instructions for the home health aide are prepared by the Registered Nurse in 1 out of 7 Sample Patients (SP).

The provider failed to have skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis.

The provider failed to give the contact information for the Home Health Agency's Administrator, including the Administrator's name, business address, and business phone number in order to receive complaints for 7 out of 7 Sampled Patient (SP).

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The provider failed to review and update the medications for 2 out of 7 sampled patients (SP).

Base on record review and interview, the provider failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days on 1 out of 7 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the following: The frequency and duration of visits to be made; A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors…

The provider failed to record in the plan of care all patient care orders, including verbal orders for 1 out of 7 Sampled Patients (SP).

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for 2 out of 7 Sampled Patients (SP).

The provider failed to give the name and contact information of the Home Health Agency's clinical manager for 7 out of 7 Sampled Patient (SP).

The provider failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 7 Sampled Patients (SP).

The home health agency nursing staff failed to prepare and record clinical notes for 3 out of 7 Sampled Patients (SP).

The provider failed to demonstrate that nursing services were provided under the supervision of a registered nurse for 3 out of 7 Sampled Patients (SP).

The provider failed to maintain documentation that demonstrates completion of a 75 hours home health aide training for 1 out of 7 employees (Staff G) Findings include: Personnel record review of Staff G on 10/11/18 revealed a certificate of thirty-five hour course completion in Home Health aide…

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 7 Sample Patients (SP).

The agency failed to ensure that a registered nurse or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care in order to observe and assess each home health aides.

The provider failed to ensure that 5 out of 7 (Staff A, Staff B, Staff E, Staff F and Staff G) personnel file contained the results of their criminal record check as stated in the Home Health Agency personnel policy.

The clinical manager failed to coordinate patient care for 2 out 7 Sampled Patients (SP).

The provider failed to have in the clinical record all clinical notes for service rendered and physician orders for 5 out of 7 Sampled Patients (SP).

The provider failed to have a complete and accurate medical record that includes all interventions (including medication administration) made by the home health agency staff for 3 out of 7 Sampled Patients (SP).