Mercy Home Health Care LLC
Inspection 2018-02-26
· Complaint, Recertification, Sample Validation · 31 deficiencies · CMS source report (PDF)The home health agency failed to ensure the skilled nurse completed the initial assessment within 48 hours from the date of the physician referral (see G 512); failed to ensure all disciplines completed the comprehensive assessment within 5 days from the start of care date (see G 520); failed to…
Show inspector's text
Loading…
The home health agency personnel failed to follow the plan of care (see G 572); failed to ensure all medical supplies were listed on the plan of care and failed to ensure the plan of care had accurate dates (see G 574); failed to update the plan of care to include all physician orders (see G 576)…
Show inspector's text
Loading…
The home health agency failed to ensure all patients were provided services as indicated in the plan of care (See G 710); failed to ensure the patient and caregiver were provided with education as ordered on the plan of care (See G 714); and failed to ensure the physician was promptly notified of…
Show inspector's text
Loading…
The home health agency failed to ensure all medical supplies were listed on the plan of care and failed to ensure the plan of care had accurate dates (see G 1010) failed to be clear, complete, and appropriately authenticated and dated (see G1024), and patient's personal health information was…
Show inspector's text
Loading…
The home health agency failed to provide a validated OASIS report to verify required OASIS submissions in 1 of 1 home health agency.
Show inspector's text
Loading…
The home health agency failed to ensure the skilled nurse completed the initial assessment within 48 hours from the date of the physician referral in 2 of 8 records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure the plan of care was followed in 7 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to follow infection control guidelines in 3 of 3 home visits.
Show inspector's text
Loading…
The home health agency failed to ensure the home health aide successfully completed a competency evaluation program in 2 of 3 home health aides.
Show inspector's text
Loading…
The home health agency failed to ensure all medical supplies were listed on the plan of care and failed to ensure the plan of care had accurate dates in 4 of 8 clinical records reviewed.
Show inspector's text
Loading…
The clinical records failed to be clear, complete, and appropriately authenticated and dated in 2 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure patient's personal health information was stored in a locked, secure area in 1 of 1 home health agency.
Show inspector's text
Loading…
The home health agency failed to ensure all patients received all services as outlined on the plan of care in 4 of 8 clinical charts reviewed.
Show inspector's text
Loading…
The home health agency failed to provide patients with the extent of payment from their insurance and possible charges for services that may not be covered by their insurance in 4 of 10 records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure 1 of 8 patients knew how to contact the Indiana State Health Department to receive complaints and questions.
Show inspector's text
Loading…
The home health agency failed to ensure all disciplines completed the comprehensive assessment within 5 days from the start of care date in 2 of 8 records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure the comprehensive assessments supported the patient's goals in the plans of care that were identified by the agency in 3 of 8 clinical records reviewed.
Show inspector's text
Loading…
The skilled nurse failed to ensure all medications were listed on the medication reconciliation in 2 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure all medical supplies were listed on the plan of care and failed to ensure the plan of care had accurate dates in 4 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to update the plan of care to contain all physician orders in 1 of 8 clinical records reviewed.
Show inspector's text
Loading…
The skilled nurse failed to ensure a physician order was in place before administering medication to patient in 1 of 8 clinical charts reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure the plan of care was reviewed and approved by the physician in 1 of 8 clinical records reviewed.
Show inspector's text
Loading…
The skilled nurse failed to promptly notify the physician of changes in the patient's condition in 1 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to coordinate care amongst all agency members in 3 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure all patients were provided services as indicated in the plan of care in 4 of 8 clinical charts reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure the patient and caregiver were provided with education as ordered on the plan of care in 8 of 8 clinical records reviewed.
Show inspector's text
Loading…
The skilled nurse failed to ensure the physician was promptly notified of changes in the patient's condition in 1 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure all home health aides completed a competency evaluation and a skills competency test was administered prior to first patient contact in 3 of 3 home health aide personnel records reviewed.
Show inspector's text
Loading…
The home health agency failed to ensure the home health aide provided care as ordered on the plan of care in 2 of 8 clinical records reviewed.
Show inspector's text
Loading…
The home health aide failed to report vital signs outside of physician established parameter to the skilled nurse in 1 of 8 clinical records reviewed.
Show inspector's text
Loading…
The administrator failed to organize and direct the home health agency's ongoing functions in 1 of 1 home health agency.
Show inspector's text
Loading…