Liberty Healthcare Services, LLC

The agency failed to ensure the individualized plan of care included the types of services and frequency and duration of visits to be made for one of three patients reviewed (Patient #3).

The agency failed to ensure all services were administered only as ordered by a physician for two of three patients reviewed (Patients #2 and #3).

The agency failed to investigate complaints made by the patient's representative for one of one complaints reviewed (Patient #2).

The agency failed to ensure the individualized plan of care included the types of services and frequency and duration of visits to be made for one of three patients reviewed (Patient #2).

The agency failed to ensure all services were administered only as ordered by a physician for one of three patients reviewed (Patient #2).

The facility failed to maintain the comprehensive emergency preparedness program per the requirements of: 42 CFR 484.102 Review of agency records on 10/01/19 revealed the agency had no emergency preparedness program including procedures and policies, training and testing.

The agency failed to have a documented quality assessment and performance improvement program in place (G642).

The agency failed to have an Infection Control program (G684).

The agency failed to have a governing body (G942).

The agency failed to have a Quality Assessment and Performance Improvement program in place.

The agency failed to have an infection control program in place.

The agency failed to have a Governing Body.

The agency failed to ensure medications lists for patients were current for one of three patients with home visits (Patient #1 and #3).

The agency failed to include all required information on the patients' plan of care for three of seven patient medical records reviewed (Patient #2, #5, and #6).

The agency failed to ensure all patient care orders were recorded in the plan of care for three of seven patient medical records reviewed (Patient #2, #5, and #6).

The agency failed to conduct supervisory visits no less than every 14 days for one of six patients reviewed who received skilled and home health aide services (Patient #5).