Med Plus Staffing LLC

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all of the components required by the new home health regulations that were effective 01/13/18. The information provided to the agency patients failed to include: - The…

The agency failed to: - Complete the comprehensive assessment within 48 hours of referral by a registered nurse (G514); - Complete the comprehensive assessment within 48 hours of referral by the skilled rehabilitation professional (G516); - Ensure the comprehensive assessment was complete and…

The agency failed to: - Maintain an accurate and complete plan of care (G574); - Ensure care follows the written plan of care established by a physician (G578); and - Ensure discharge communication occurred with the patient (G598).

The agency failed to: - Ensure skilled professional services were supervised (G702); - Ensure responsibilities of the clinical manager could be met (G704); - Ensure communication occurred with the physician (G718); and - Ensure skilled professional assistants supervision could be provided (G724).

Med Plus Health Care failed to: - Ensure a QAPI (quality assurance performance improvement program) (G942); - Ensure administrator organizes and directs the agency's ongoing functions (G948); - Ensure a clinical manager is available (G950); - Employ an alternate administrator (G954); - Ensure…

The agency failed to ensure that an individual emergency preparedness disaster plan was developed for each patient as part of the comprehensive patient assessment in, but not limited to, three (Patient/Record #1, #2, and #3) of five cases.

The agency failed to ensure that the encoded Outcomes and Assessment Information Set (OASIS) data accurately reflected the patient's status at the time of assessment in, but not limited to, one (Patient/Record #1) of three patients assessed for OASIS.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed about access to auxiliary aids and language services, and how to access these services.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of mistreatment, neglect, verbal, mental, sexual…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's status in but not limited to, two of five cases (Patient/Record #2 and #3).

The agency failed to follow the physician's order in but not limited to two of five records (Record/Patient #1 and #3).

The agency failed to ensure a coordinated infection control program could be maintained when the agency had no infection control coordinator.

The agency failed to ensure skilled professional services are supervised . The deficient practice is evidenced by no current clinical manager or registered nurse employed with the agency.

The agency failed to ensure responsibilities of the clinical manager could be met.

The agency failed to ensure skilled professional assistants supervision could be provided.

The agency failed to ensure that the quality assessment and performance improvement program could be maintained when the agency had no QAPI (quality assurance performance improvement program) coordinator by survey exit.

The agency failed to ensure skilled nursing services and therapy services are available to home health patients that the agency may admit, when the agency had no registered nurse, physical therapist, occupational therapist, or clinical manager on staff by survey exit.

The agency failed to update/provide a written notice of patient rights that included: - Transfer and discharge policies; - Rights and responsibilities that are understandable to persons who have limited English proficiency; and - Rights and responsibilities accessible to individuals with…

The agency failed to obtain the patient or legal representative's signature confirming that he/she received a copy of the notice of rights and responsibilities in one (Record/Patient #3) of five records reviewed.

The agency failed to update/provide a written notice of patient rights that met the requirement for the agency to provide verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of the second visit.

The agency failed to update/provide the written notice of patient rights that included the patient's right to have a copy of the patient's rights and responsibilities and the agency's transfer and dicharge policies provided to a patient-selected representative within four business days of the…

The agency failed to update/provide the written notice of patient rights that included the patient's right to be free from verbal, mental, sexual, and physical abuse, including injuries of unknown source, neglect, and misappropriation of property.

The agency failed to update/provide the written notice of patient rights that included the patient's right to participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate, with respect to expected outcomes of care, including patient-identified…

The agency failed to update/provide the written notice of patient rights that included the patient's right to receive all services outlined in the plan of care.

The agency failed to update/provide the written notice of patient rights that included the patient's right for the agency to advise the patient and representative of financial changes as soon as possible, in advance of the next home visit.

The agency failed to provide agency patients with the correct hours of operation for the state toll free home health hotline telephone number.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be advised of the names, addresses, and telephone numbers for the required federally and state-funded entities that serve the area where the patient resides.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed about access to auxiliary aids and language services, and how to access these services.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the agency and the physician agree that the agency can no longer meet the patient's needs.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the patient or payer will no longer pay for the services provided by the agency.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the patient's physician and the agency agree that the measurable outcomes and goals have been achieved and the physician…

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the patient refuses services, or elects to be transferred or discharged.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies regarding when a patient might be discharged for cause and what the agency must do prior to discharging the patient.

The agency failed to update/provide the written notice of patient rights that included that the agency would advise the patient or representative, physicians, and healthcare professionals who would be responsible for providing care after discharge, when a discharge for cause is being considered.

The agency failed to update/provide the written notice of patient rights that included that the agency should make efforts to resolve problems presented by the patient's behavior or the behavior of other persons in the home or situation when considering a discharge for cause.

The agency failed to update/provide the written notice of patient rights that included that the agency should provide the patient and representative with contact information for other agencies or providers who may be able to provide care when considering a discharge for cause.

The agency failed to update/provide the written notice of patient rights that included that the agency should document the problem and efforts made to resolve the problem into the clinical record when considering a discharge for cause.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the patient dies.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed of the agency's policies for transfer and discharge when the agency ceases to operate.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed that the agency must investigate complaints regarding mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and/or…

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed that the agency must take action to prevent further potential violations, including retaliation, while the complaint is being investigated.

The agency failed to update/provide the written notice of patient rights that included the patient's right to be informed that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of mistreatment, neglect, verbal, mental, sexual…

The agency failed to ensure a registered nurse conducted an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status within 48 hours of referral in…

The agency failed to ensure a rehabilitation skilled professional conducted an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status within 48…

The agency failed to effectively review all medications the patient was using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug…

The agency failed to ensure that an individualized complete plan of care was developed.

The agency failed to discuss/document notification to the patient of plans for discharge in one (Record/Patient #3) of one applicable cases.

The agency failed to ensure communication occurred with the physician involved in the plan of care and other health care practitioners related to the current plan of care.

The administrator failed to effectively manage the day-to-day operations of the agency.

The administrator failed to ensure that a clinical manager was available during all operating hours.

Governing body minutes review and interviews the agency failed to ensure the pre-designated person, who was authorized in writing by the administrator and the governing body, was able to assume responsibility in absence of the administrator.

The clinical manager failed to ensure that a complete and individualized plan of care was developed in, but not limited to, two of five cases (Patient/Record #1 and #2).