Millennium Home Health Care, Inc

The agency failed to ensure the ordered frequency was followed for one (Pt #2) of seven patients.

The agency failed to ensure clinical notes were complete in the clinical record for one (Pt #7) of seven patients.

The agency failed to ensure an LPN supervisory visit was completed for one (Patients #1) of seven patients.

The agency failed to ensure an Emergency Preparedness Communication Plan included required information related to the staff contact information for the agency affecting all patients and employees.

The agency failed to ensure completion of a transfer/discharge summary for two (Patients #6 and #9) of 13 patients.

The agency failed to ensure utilization of quality indicator data to improve QAPI program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of patient centered QAPI Program activities in calendar years 2020, 2021 and 01/01/22 through 01/24/22 for all patients and employees.

The agency failed to ensure the development of a home health aide care plan for one (Patient #12) of 13 patients.

The agency failed to ensure governing body oversite of: 1. A patient centered QAPI Program for calendar years 2020, 2021 and 04/01/22 to 09/11/22; 2. An operating budget and allocation of resources activities for calendar years 2020 and 2021 and; 3. Agency program evaluation for calendar years 2020…

The agency failed to ensure: 1. POC’s included: Recurring ostomy change intervention treatment due dates were documented for one (Patient #2) of 13 patients; Recurring urinary catheter change intervention treatment due dates were documented for one (Patient #4) of 13 patients and; 2. Individualized…

The agency failed to ensure services were provided as ordered on the POC’s: 1. SN to conduct visit frequency as ordered by the physician for five (Patients #1, 2, 3, 5 and #7) of 13 patients; 2. OT to conduct visit frequency as ordered by the physician for one (Patients #3) of 13 patients and; 3.…

The agency failed to ensure skilled professional multi-disciplinary staff were available to participate and provide input into the conduction of patient centered QAPI Program activities in calendar years 2020, 2021 and 04/01/22 through 12/14/22 for all patients and employees.

The agency failed to ensure governing body appointment of a qualified alternate administrator for the agency affecting all patients and employees.

The agency failed to ensure a completed transfer/discharge summary was provided for two (Patients #6 and #8) of 13 patients.