Loving Care in-Home Health Services, L.L.C.

The agency failed to ensure: 1. SN frequencies were followed as ordered for three (Patients #2, 6 and 12) of 17 patients; 2. PT frequency was followed as ordered for one (Patient #2) of 17 patients; 3. SN notified the physician of missed visit as ordered for one (Patients #3) of 17 patients; and 4.…

The agency failed to ensure governing body oversite of: 1. Ongoing patient centered QAPI Program activities for calendar year 2023 or 01/01/24 to 06/13/24; and 2. An operating budget, capital expenditure plan and allocation of resources activities for calendar year 2023 or 01/01/24 to 06/13/24. A…

The agency failed to ensure patients confidential information/records were safeguarded against loss or unauthorized use in the office setting.

The agency failed to ensure the initial assessments were performed within 48 hours of the referral for two (Patients #1 and 2) of 17 patients.

The agency failed to ensure an individualized patient POC included the frequency and duration of visits to be made for three (Patients #8 and 12) of 17 patients.

The agency failed to ensure completion of a transfer/discharge summary for two (Pt's #13 and 15) of 17 patients.

The agency failed to ensure an all hazard risk assessment for the agency and it's branch offices was dated when completed for the agency effecting 504 patients and all staff members.

The agency failed to ensure infection control surveillance and chart audit activities were included as a part of an comprehensive patient centered QAPI Program for 504 patients and all employees.

The agency failed to ensure required documentation and review of designated PIP's through their QAPI Program for 504 patients and all employees.

The agency failed to ensure a Home Health Change of Care Notice was provided prior to discharge from the agency for two (Patient #15 and #17) of 17 patients.

The agency failed to ensure: 1. the patient was educated on potential health outcomes related to refusal of PT visits for one (Patient #16) of 17 patients and; 2. notify the physician of the patient's continued refusal of PT visits for one (Patient #16) of 17 patients.

The agency failed to ensure a medication was included on the medication profile POC for one (Patient #12) of 17 patients.

The agency failed to ensure the individualized patient POC's included: 1. patient interventions and goals for two (Pt's #2 and #5) of 17 patients and; 2. patient goals for two (Pt's #7 and #11) of 17 patients Findings: Patient #2 A review of a POC dated 06/21/21 to 08/19/21 documented a principal…

The agency failed to ensure: 1. a physical therapy evaluation included an interim physician's order for visit frequency and duration for one (Patient #13) of 17 patients and; 2. the SN completed an interim physician's order for home health aide services for one (Patient #13) of 17 patients.

The agency failed to ensure SN: 1. visits were conducted as ordered by the physician for one (Patient #1) of 17 patients and; 2. conduction of blood sugar monitoring for one (Patient #3) of 17 patients.

The agency failed to ensure completion of a transfer/discharge summary for four (Pt's #4, 13, 14 and #15) of 17 patients.

The agency failed to ensure policies were maintained for current and up to date standards of practice for COVID-19 for all 308 current patients receiving home health services.

The agency failed to ensure infection prevention practices were followed to prevent the potential spread of infection for twelve (Patient #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12) of 12 patients.

The agency failed to provide oversight to ensure policies were maintained for current and up to date standards of practice (current: testing recommendations, infection control guidelines, mask requirements for different settings, when staff or patients should quarantine and what criteria has to be…

The agency failed to ensure the comprehensive assessments included a review of all medications for potential/adverse effects, drug reactions, side effects, interactions and duplicate drug therapy for one (Patient #13) of 17 patients.

The agency failed to ensure a home health aide supervisory visit was completed every 14 days for one (Patient #6) of four patients with home health aide services.