Medi Home Health Agency

The agency failed to conduct a timely resumption of care within 48 hours of a patient's return home from a hospital admission of more than 24 hours for one (1) of one (1) patient who had a resumption of care whose clinical record was reviewed as part of the survey sample: (Clinical record for…

The agency staff failed to ensure the plan of care contained the specific location of a wound and the order of the wound for one (1) of three (3) patients in the survey sample who had a wound: (Clinical record for Patient #4).

The agency failed to develop an emergency preparedness plan based on a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach to include strategies for addressing emergency events identified by the risk assessments.

The agency failed to document an Emergency Preparedness Communication Plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years.

The agency failed to ensure the patient was informed prior to services being provided of the following: disciplines that will furnish the care, frequency of visits, and the financial cost and responsibility of these services for four (4) of ten (10) patient records reviewed in the survey sample.

The agency's information in their admission packet regarding patient's having the right to file a complaint failed to contain the following: state toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions…

The agency's emergency's plan failed to address the types of services the agency has the ability to provide in the event of an emergency.

The agency failed to document individualized emergency preparedness plans as part of the comprehensive assessment for three (3) of three (3) medical records reviewed in the survey sample.

The agency's emergency preparedness policy and procedures failed to include procedures to inform State and local emergency preparedness officials about home health patients in need of evacuation from their residences.

The agency's emergency preparedness policy and procedures failed to include a policy for medical documents.

The agency's emergency preparedness policies and procedures failed to include a policy and procedure for the use of volunteers in an emergency or for emergency staffing needs.

The agency failed to develop policies and procedures regarding processes for sharing medical information of agency patients with other health providers in order to maintain continuity of care.

The agency failed to document providing a copy of the agency's transfer and discharge policies at the time of admission for three (3) of seven (7) medical records reviewed in the survey sample.

The agency's admission packet failed to contain the contact information for the HHA (home health agency) Administrator (staff#1), specifically the Administrator's name and address in order to receive complaints.

The agency failed to document providing written notification to the complainant regarding the resolution of complaints received for two (2) complaints reviewed.

The agency failed to document providing the names, addresses, and telephone numbers of the Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource Center; and the Quality Improvement Organization where the patient resides for three (3) of seven…

The agency failed to document a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors in the plans of care for three (3) of seven (7) medical records reviewed in the survey sample.

The agency failed to document communicating discharge information to the patient/caregiver prior to discharge for two (2) of seven (7) medical records reviewed in the survey sample.

The agency failed to ensure documentation of the governing body appointing the Administrator.