Mercy Home Health Services

The agency failed to ensure direct care staff were trained on their emergency preparedness (EP) plan upon hire, and at least every 2 years thereafter for 4 (S6HHA, S7HHA, S8HHA, and S15RN) of 14 personnel files reviewed.

The agency failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) within 30 days of completion date of the assessment.

The agency failed to maintain an accurate medication profile for 2 (#2 and #5) of 7 sampled patients reviewed who received home visits.

The agency failed to have the Plan of Care (POC) reviewed and revised by the physician every 60 days, beginning with the SOC (Start of Care) date for 1(#6) of 17 sampled patients reviewed.

The agency failed to provide skilled professional services as ordered by the physician in the Plan of Care (POC) for 1 (#2) of 7 sampled patients reviewed with home visits.

The agency failed to ensure the patient's written Plan of Care was followed as evidenced by the following: 1. SN visits not conducted as ordered for 1 (Patient #5) of 10 (Patients #1 - #10) sampled patient records reviewed that had orders for SN visits; and 2. PT visits not conducted as ordered for…

The agency failed to conform with physicians' orders by failing to ensure SN services were provided per physician's orders for 1 (Patient #8) of 10 (Patients #1-10) sampled patients reviewed for SN services.

The agency failed to ensure the medication profile accurately reflected all medications patients were using, and/or did not reflect medications the patients were no longer using, for 4 of 4 (Patients #4, #5, #6, #7) sampled patients reviewed who received home visits.

The agency failed to ensure the total plan of care was signed and dated by the patient's physician in a timely manner for 8 (Patients #1, #2, #3, #4, #5, #7, #8, #9) of 10 (Patients #1-#10) sampled patient records reviewed.

The Home Health Agency failed to ensure a physician was promptly made aware of the status of 1 (Patient #1) of 10 (Patients #1-10) sampled patients reviewed.

The agency failed to ensure any revisions to plans for the patient's discharge were communicated to the patient, representative, caregiver, all physicians issuing orders for the HHA plan of care, and the patient's primary care practitioner or other health care professional who will be responsible…