Lifestyles Homecare LLC

The agency failed to ensure employees followed standards of practice for hand hygiene to reduce the spread of infections for 1 of 2 home visit observations with an RN (Patient #2).

The home health agency failed to ensure the patient received services as ordered on the POC for 1 of 1 active record reviewed with a SOC in the past 60 days (Patient #7).

The home health agency failed to ensure the POC included the indication for all as needed medications for 1 of 1 patient record reviewed with a home visit observation with HHA services (Patient #4) and failed to ensure the frequency and duration of visits to be made for 3 of 3 patient records…

The home health agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for 7 of 7 active patient records reviewed (Patient #1, 2, 3, 4, 5, 6 and 7).

The home health agency failed to ensure the POC was reviewed with the physician or attending practitioner no less frequently than once every 60 days for 4 of 6 active records reviewed with a recertification (Patient #2, 4, 5, and 6).

The agency failed to ensure all staff followed standard precautions and infection control for 1 of 3 home visits observed (Patient #5).

The agency failed to ensure the orientation of the competency evaluation of home health aides (HHA) included the tasks of performing a tub bath and recognizing and reporting changes in skin condition that had the potential to affect all patients receiving home health aide services.

The agency failed to ensure patient's clinical records would be made available to the patient, free of charge with the potential to affect all 55 current patients, for 1 of 1 agency.

The agency failed to ensure all patients were informed of the following Patient Bill of Rights: the disciplines that will furnish care, factors that could impact treatment effectiveness, and any changes in the care to be furnished for 3 of 3 active patients with home visits [Patient # 5, 6, and 7]…

The agency failed to ensure documentation reflected efforts made to resolve problem before discharging patient in 1 of 2 discharged record reviews (Patient #4).

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s current respiratory status and mental status in the development and implementation of the plan of care for 2 of 7 patients (Patient #2 and #4).

The agency failed to ensure patients’ plan of care included all required elements, and included the Patient's advance directive choice and the functional limitations for 1 of 5 active patient record reviews (Patient #2).

The home health agency failed to notify the physician of missed visits for 1 of 3 active skilled nursing records reviewed (Patient #7.) 1. An agency policy C-680 titled “Clinical Documentation,” included, but not limited to, “…Services not provided and the reason for the missed visits will be…

The agency failed ensure the home health aide (HHA) competency skills were evaluated with a patient or with a pseudo-patient (live person can be volunteer or staff) and follow their agency policy for 5 of 5 HHA employee records reviewed [Home Health aides #1, 2, 3, 4, and 5).

The agency failed to ensure the home health aide (HHA) followed the plan of care for 2 of 3 record reviews with home health aide only services (Patient #2 and 3).

The agency failed to evidence the administrator reports to the governing body for 1 of 1 agency.

The home health agency failed to follow their own policies and ensure that documentation of home visits be incorporated into the clinical record within seven (7) days for 3 of 5 active records reviewed (Patient #1, 2, and 5).