Life Care at Home

The agency failed to meet the Condition of Participation relative to the development and maintenance of an Emergency Preparedness Plan.

The agency failed to provide each client an individualized written plan of care which included the following: revisions or additions, which must specify the care and services necessary to meet the patient specific needs identified in the comprehensive assessment, identification of the responsible…

The Condition of Participation: Quality assessment and performance improvement has not been met relative to; the agency failed to develop, implement, and maintain an effective, ongoing HHA wide, data driven Quality Assessment and Performance Improvement (QAPI) program.

The facility failed to ensure compliance with Federal, State, and local laws and regulations related to the health and safety of patients relative to employee background checks for 7 of 8 employees reviewed, health screenings for 7 of 8 employees reviewed, and Covid-19 vaccination for 2 of 8…

The agency failed to meet the Condition of participation for Organization and administration of services.

The agency has failed to meet the Condition of Participation relative to maintaining clinical records containing past and current information for every patient accepted by the HHA and receiving home health services that were accurate, adhere to current clinical record documentation standards of…

The agency failed to maintain an updated client disaster code triage list, to test their emergency operations plan by participating in a full-scale community-based exercise, or in a natural or man-made emergency requiring activation of the plan, or a mock disaster drill or tabletop exercise…

The facility failed to ensure that the client receives home health services that are written in an individualized plan of care that identifies patient specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor for 6 of 7 clients, Client ID # 1…

The governing body failed to assume responsibility for the agency's overall management and operation, and the provision of all home health services.

The agency failed to employ a Clinical Manger, who is a qualified individual to provide oversight of all patient care services and personnel.

The agency failed to ensure that all entries are legible, clear, complete, and appropriately authenticated, dated, and timed for 2 of 7 clients, Client ID #s 3 and 5. Findings are as follows: 1) Record review of a document entitled "Paraprofessional Assignment Sheet" which was electronically signed…

The agency failed to assure that the patient’s clinical record identifies all medication the patient is currently taking for 5 of 7 sample clients, Client ID #’s 1,2,3,4 and 5. Findings are as follows: 1) Client ID #1 has a start of care date of 11/17/2021, for skilled nursing services.

The facility failed to ensure that the individualized plan includes all pertinent diagnoses, the patient’s mental, psychosocial and cognitive status, the types of services , supplies and equipment required, the frequency and duration of visits to be made, prognosis, rehabilitation potential…

The agency failed to ensure that all patient care orders, including verbal orders, must be recorded in the plan of care for 1 of 7 clients reviewed, Client ID # 1. Findings are as follows: Client ID #1 has a start of care date of 11/17/2021 for skilled nursing services.

The agency failed to ensure that the client's visit schedule, which includes frequency of visits to be completed by the Home Health Agency is consistent with the client's plan of care for 5 of 7 clients reviewed, Client ID # 2, 3, 4, 5 and 7. Findings are as follows: 1) Client ID #2 had a start of…

The agency failed to ensure that a qualified individual was responsible for the day to day operation of the agency.

The facility failed to ensure homemakers employed were qualified relative completion of a basic homemaking training program for 5 of 5 homemakers.

The agency failed to coordinate client care with other agencies and providers for 2 of 3 clients, ID#'s 3 & 4, who were interviewed during home visits, Findings are as follows: 1. Record review for client ID # 3, who had a start of care date of 7/20/2021, lacked evidence of any other agencies or…

The agency failed to ensure the clinical record included the client’s current comprehensive assessment, including all the assessments from the most recent home health admission, clinical notes, plans of care and physician orders for 6 of 7 clients reviewed, Client ID #s 1, 2, 3, 4, 5 and 7.…

The agency failed to ensure the clinical record included all interventions, including medication administration, treatments and services and responses to those interventions for 6 of 7 clients reviewed, Client #s 1, 2, 3, 4, 5 and 7. Findings are as follows: 1) Client ID #1 has a start of care date…

The home health agency (HHA) has failed to ensure treatments are administered by agency staff as ordered by the physician for 1 of 8 patients requiring physical therapy and occupational therapy (ID # 1).

The agency has failed to complete an OASIS recertification within the last 5 days of every 60 days for 1 of 10 patient records (ID# 7).

The Home Health Agency failed to ensure that the clinical record was complete and accurate for 1 of 4 sample patients who have wounds requiring treatments (ID #1).