Marigold Home Healthcare Service

The individualized emergency preparedness plan for patients failed to identify persons at risk.

The HHA failed to ensure that the EPP included all of the following: (1) Names and contact information for Staff, Entities providing services under arrangement, and Patients' physicians.

The agency failed to follow its policy pertaining to infection control for three (3) of three (3) clinical home visits: CR#3, CR#4, and CF#7 Findings include: The HHA's Bag Technique/Cleaning and Storage of Equipment Policy reviewed on January 28, 2025 at 2:30 PM states in part, "All Marigold…

The HHA failed to assure that entries into the CR were accurate, authenticated, and/or timed for seven (7) of seven (7) CR's reviewed: CR#1, CR#2, CR#3, CR#4, CR#5, CR#6, and CR#7. Findings include: An interview with the administrator on January 27, 2025 found that the HHA had purchased a package…

The HHA failed to provide the patients with an OASIS (Outcome and Assessment Information Set) Privacy Notice for seven (7) of seven (7) CR's reviewed: CR#1, CR#2, CR#3, CR#4, CR#5, CR#6, and CR#7. Findings include: The HHA's Patient Admission Packet reviewed on January 27, 2025 at approximately…

The HHA failed to provide the patient with information concerning the criteria for transfer and discharge from the HHA for seven (7) of seven (7) CR's reviewed; CR#1, CR#2, CR#3, CR#4, CR#5, CF#6, and CR#7. Findings include: The HHA's Patient Admission Packet reviewed on January 27, 2025 at…

The HHA failed to provide the patient with the names, addresses and telephone numbers of federally-funded and state-funded entities that service the area where the patient resides for seven (7) of seven (7) CR's reviewed; CR#1, CR#2, CR#3, CR#4, CR#5, CF#6, and CR#7. Findings include: The HHA's…

The home health agency failed to ensure that an initial assessment was conducted within forty-eight (48) hours of the referral for two (2) of seven (7) CR's reviewed: CR#5 and CR#6. Findings include: The HHA's Admission Policy and Procedure, reviewed on January 27, 2025 at approximately 12:15 PM…

The agency failed to ensure that the individualized plan of care included the services to be provided for two (2) of seven (7) CR's reviewed: CR#1 and CR#2. Findings include: The HHA's Admission Policy and Procedure reviewed on January 27, 2025 at approximately 12:15 PM reads in part, "The Plan of…

The HHA failed to ensure that treatment administered was ordered by a physician for one (1) of seven (7) CR's reviewed: CR#2. Findings include: The HHA's Admission Policy and Procedure reviewed on January 27, 2025 at approximately 12:15 PM reads in part, "The Plan of Treatment will…

The home health agency failed to assure that the patient received written information regarding the patient's medication regimen based on the results of the drug regimen review for six (6) of seven (7) CR's reviewed: CR#2, CR#3, CR#4, CR#5, CR#6, and CR#7. Findings include: A review of CR's was…

The HHA failed to assure that services ordered by the physician were provided to the patient for three (3) of seven (7) CR's reviewed; CR#1, CR#2, and CR#6. Findings include: The HHA's Missed Appointments Policy reviewed on January 28, 2025 at 2:00 PM reads in part, "Marigold Home Health recognizes…

The home health agency (HHA) failed to assure that a discharge summary was sent to the physician within 5 business days of the patient's discharge for one (1) of two (2) discharge records reviewed: CR#2. Findings include: A review of CR's was conducted on January 27, 2025 starting at approximately…