McGuffey Home Health Care, LLC

The agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every two years, resulting in the potential for poor patient outcomes due to the agency being ill-prepared in the event of an actual emergency or disaster.

The agency failed to develop and maintain an emergency preparedness training and testing program that is based on the emergency plan, risk assessment, policies, procedures, communication plan, and reviewed and updated at least every two years.

The agency failed to furnish the ordered services of occupational therapy (OT) and home health aide (HHa) services as needed in 1 (P-1) of 7 patient records reviewed, resulting in the potential for unmet patient care needs.

The agency failed to ensure the patient received the written NOMNC (Notice of Medicare Non-Coverage) form in advance of terminating home care services in 1 (P-5) of 3 patient discharge records reviewed, resulting in patients not having the right or opportunity to dispute the termination of Medicare…

The agency failed to advise patients of the names, addresses and telephone numbers of Federally funded and State funded entities that serve the areas where the patients reside in 2 (P-2, P-3) of 2 home care admissions packets reviewed, resulting in a lack of information regarding the above…

The agency failed to ensure the comprehensive assessment included a timely review of all current medications and failed to alert the physician of significant medication interactions for 1 (P-1) of 7 patient records, resulting in the potential for unsafe medication administration and poor patient…

The agency failed to ensure the Plan of Care (POC) for skilled nursing (SN) included objective measurable goals in 5 (P-1, P-2, P-3, P-4, and P-5) of 6 patient records with SN services; and failed to have appropriate reportable pain parameters in 2 (P-2 and P-6) of 7 patient records, resulting in…

The agency failed to ensure transfer summaries were completed and forwarded to receiving facility and or receiving physician within 2 days of becoming aware of a transfer for 2 (P-1, P-4) of 2 patients who were admitted/transferred to a hospital, resulting in the potential for unidentified…

The agency failed to ensure occupational therapy followed the visit frequency ordered by the physician as indicated in the patient plan of care in 1 (MR # 2) of 7 sample records reviewed resulting in potential for physical decline and unmet patient care needs.

The agency failed to ensure the skilled nurse followed accepted standards of practice in Infection Control as directed by agency policy for 1 (MR #1) of 1 patients observed during a home visit, from a total of 7 records reviewed, resulting in the potential for the development and spread of…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The agency failed to ensure the registered nurse completed a comprehensive drug review for 3 of 7 (MR #’s 2, 3 and 4) records reviewed resulting in the potential for undetected harmful medication side effects or interactions.

The agency failed to ensure the plan of care included all safety measures in ...3 of 7 (MR# 4, 5 and 6) records reviewed from a total sample of 7 records reviewed, resulting in the potential for patient injury.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 6 (MR #2, 3, 4, 5, 6 and 7) of 7 sample discharge records and failed to ensure that a transfer summary was sent to the health care facility providing care within 2 days of…