Medcare Home Health Services, Inc.

The agency failed to have written service schedules provided to the patients in 4 (SP#1, SP#6, SP#7 and SP#8.) out of 8 Sampled Patients reviewed.

The Provider failed to show coordination of care for2 out of 9 (#1, #2) sample patients (SP) of care during treatment.

The Provider failed to ensure written patient care instructions were provided for 1 out of 9 (#3) sample patients (SP).

The home health agency failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional for 1 out of 9 Sampled Patients (SP).

The Provider failed to ensure that 3 out of 9 (#1, #2, #3) sample patients (SP) clinical records included pertinent information.

The home health aide failed to document the service(s) provided as included in the plan of care for 1 out of 3 Sampled Patients (SP).

The home health agency failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional for 1 out of 3 Sampled Patients (SP).

The home health agency failed to demonstrate it had obtained the patient's or legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 1 out of 6 Sampled Patients (SP).

The home health agency failed to demonstrate the staff(s) prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to coordinate care delivery for 1 out of 5 Sampled Patients (SP).

The Home Health Agency failed to ensure that an Occupational Therapist was promptly available to work/ carry out the physician’s order for 1 out of 5 Sampled Patients (SP).

The Home Health Agency failed to promptly furnish the Home Health Aide (HHA) services to 2 out of 5 Sampled Patients (SP).

The Home Health Agency failed to ensure that a comprehensive assessment was conducted within five calendar days after the start of care for 1 out of 5 Sampled Patients (SP).

The Home Health Agency failed to provide services that are ordered by the physician or allowed practitioner as indicated in the plan of care for 1 out of 5 Sampled Patients (SP).

The Home Health Agency failed to communicate accurate information to 1 out 5 Sampled Patients (SP)’s physician related to the current plan of care.

The Home Health Agency failed to coordinate care delivery for 1 out 5 Sampled Patients (SP).

The Home Health Agency failed to honor 1 out 3 Sampled Patients (SP)'s rights by not providing care as ordered by the physician.

1 out 3 Sampled Patients (SP) did not receive all services outlined in the Plan of Care (POC).

The Home Health Agency failed to coordinate care delivery to meet the patient's needs for 1 out 3 Sampled Patients (SP).

The Home Health Agency failed to ensure the clinical notes contained all the required documentation for 1 out of 3 Sampled Patients (SP).

The provider failed to ensure that 1 out of 6 (#1) sample patients (SP) plan of care included all patient care orders.

The Home Health Agency failed to coordinate care delivery to meet the patient's needs, and involve the patient, representative, and caregiver(s), as appropriate, in the coordination of care activities for 1 out 6 Sampled Patients (SP).

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 1 out of 4 Sampled Patients (SP).

The provider failed to promptly alert the physician to the alteration of the plan of care for 1 out of 4 Sample Patients (SP).

The provider failed to maintain a complete and accurate medical record that include all interventions, treatments, and responses to those interventions for 1 out of 4 Sampled Patients (SP).

The provider failed to document the verbal order(s) in the patient's clinical record, and sign, date, and time the order(s) in 1 out of 3 Sampled Patients (SP).

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 1 out of 4 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the information related to any advanced directives on 4 out of 4 Sampled Patients (SP).

The provider failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 4 Sampled Patients (SP).

The provider failed to ensure that clinical records for 1 out of 3 (#1) sample patient (SP) included all interventions, including services provided by home health agency staff.

The license practical nurse (LPN) failed to prepare clinical notes that showed services were provided in accordance to the plan of care for 1 out of 3 (#3) sampled patients (SP).