Med Care Home Health Care

The agency failed to provide documented evidence to ensure that all staff, including contracted staff, had received training/in-services in infection control, resulting in the potential for the development and spready of infection to staff and all patients actively serviced by this agency.

The agency failed to ensure 1 of 2 contracts (Contractor#1) met the requirements of section 1861(w) of the Act (42 U.S.C. 1395x(w)), resulting in the potential to adversely affect the finances of all patients that receive contracted services.

The agency failed to obtain the patient's or legal representatives signature confirming receipt of a copy of rights and responsibilities for 1 of 7 (P-7) records reviewed, resulting in no assurance that this patient had received a copy of his/her rights and responsibilities.

The Agency failed to ensure that 1 (P-2) of 2 patients observed during home visits, from a total of 7 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of…

The agency failed to ensure an initial assessment was conducted within 48 hours of referral for 1 of 7 (P-6) records reviewed, resulting in a delay in determining the immediate care and support needs for this post-operative patient.

The agency failed to ensure the plan of care included all pertinent patient-specific interventions and measurable outcomes and goals for 7of 7 (P#'s 1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in patients not receiving care specific to their individual needs and the potential for poor patient…

The agency failed to ensure its skilled discipline promptly notified the Physician for 1 (P-2) of 1 patient who experienced a significant change in condition, from a total of 7 sampled records reviewed, resulting in the potential for untreated, unrelieved symptoms, worsening of health conditions…

The agency failed to coordinate the delivery of occupational therapy services for 2 of 2 (P-3, P-7) records reviewed in which occupational therapy was ordered to provide care, resulting in a lack of coordinated care delivery to meet the occupational therapy needs of these patients.

The agency failed to ensure the skilled discipline provided education and training on needed exercises for 1 (P-2) of 1 patient who required ongoing Physical Therapy services, from a total of 7 sampled records reviewed, resulting in the potential for physiological decline and delay in meeting…

The agency failed to ensure the skilled discipline conducted assessments as appropriate for 1 (P-2) of 1 patient observed during a home visit, who experienced unrelieved pain and a change in baseline condition, from a total of 7 sampled records reviewed, resulting in the potential for worsening of…

The agency failed to ensure services were provided in accordance with the Physician's orders for 3 (P-1, P-2, P-7) patients who required Therapy services, from a total of 7 sampled records reviewed, resulting in the potential for physiological decline and unmet care needs.

The agency failed to ensure the medical record contained all physical therapy visit notes1 of 7 (P-7) records reviewed, resulting in a lack of information for the physician and all agency staff caring for this patient.

The agency failed to ensure a copy of the patient's discharge summary was received by the physician within 5 days of discharge in 1 of 7 records reviewed (P-3) resulting in the physician not having information regarding the patient's condition at discharge, the patient outcomes in meeting the goals…