Luxe Home Health LLC

The home health agency failed to ensure: the patient’s needs were met (See tag G0570); services were provided per the plan of care (See tag G0572); the plan of care included all required information / elements for the treatment of the patient (See tag G0574); services were provided only as ordered…

The agency failed to ensure the POC was developed in conjunction with the physician and the services were provided as ordered by the physician and in the POC in 2 of 4 active clinical records reviewed which received skilled services for more than 6 days.

The agency’s Quality Assessment and Performance Improvement [QAPI] program failed to analyze patients’ falls adverse events and implement preventive actions for 5% of unduplicated 12 month census with patients’ falls from 04/01/2024 to 05/22/2025 (Patient #8, Patient #9, Patient #10, Patient #11…

The agency failed to ensure the clinical record was accurate in 1 of 2 clinical records reviewed with services provided by a LPN.

The agency failed to conduct the initial assessment within 48 hours from the referral in 2 of 5 active clinical records reviewed.

The agency failed to ensure the comprehensive assessment included the current health and functional status in 1 of 2 active clinical records reviewed with a SOC within 45 days of survey (Patient #1).

The agency failed to ensure the comprehensive assessment included the caregiver’s ability, availability, and willingness to provide care in 1 of 2 active clinical records reviewed which indicated the patient resided with a caregiver and day 5 of the comprehensive assessment had passed.

The agency failed to ensure the plan of care included all patients’ medications and treatments in 4 of 4 active clinical records reviewed receiving skilled services for more than 6 days (Patient # 1, 3, 4, and 5).

The agency failed to ensure that services and treatments were administered only as ordered per a physician in 2 of 4 active clinical records reviewed with a patient wound (Patient #2, 5).

The agency failed to ensure physician or practitioner’s verbal orders were documented in the patient’s clinical record and the orders were signed and dated in 1 of 1 active clinical records reviewed for a patient residing in an independent care facility (Patient #1).

The agency failed to ensure the physician was notified of changes in the patient's condition that suggest the POC may need to be changed in 3 of 5 active clinical records reviewed.

The agency failed to ensure communication with all practitioners providing care to the patient in 2 of 3 active clinical records reviewed with wounds receiving care from Person 3. (Patient #1, 5) The findings include: 1. A clinical record review for Patient #1 evidenced a SOC comprehensive…

The agency failed to coordinate care with all disciplines and other agencies providing care in the home in 2 of 5 active clinical records reviewed.

The agency failed to ensure the plan of care was followed in 2 of 5 active clinical records reviewed (#4, 5).

The agency failed to track adverse patient events in 1 of 2 patient records with documented falls (#6).

The home health agency failed to ensure all entries in the clinical record were clear, complete and appropriately authenticated in 1 of 5 active patient records reviewed (#4).

The agency failed to ensure the individualized plan of care included complete orders for medications, treatments, safety measures, and advanced directives in 5 of 7 records reviewed (#1, 3, 4, 5, 6).

The home health agency failed to revise the plan of care to reflect the current health status and needs in 1 of 5 active patient records reviewed.

The agency failed to ensure patients were provided a current written patient medication list in 1 of 1 home visits conducted with a physical therapist (#3).

The agency failed to ensure the home health aide followed the care plan for active patients receiving home health aide services in 1 of 1 home health aide visits observed.

The agency failed to develop and implement an emergency preparedness policy and procedure for the use of volunteers and other emergency staffing to address surge needs during an emergency for 1 of 1 agencies.

The agency failed to provide the patient with a copy of the completed service agreement for 2 of 3 home visits.

The agency failed to revise and incorporate all verbal orders for physical therapy into one plan of care for 2 of 3 patients receiving physical therapy services.