Modern Home Health, Inc

The agency failed to provide and maintain documentation of Emergency Preparedness (EP) training to staff and contract staff at least every two (2) years for 6 (S4PTA, S7PT, S8COTA, S9HHA, S11HHA, and S13HHA) of 10 personnel files reviewed for EP training.

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the Centers for Medicare and Medicaid Services (CMS) system within 30 days of completion.

The agency failed to ensure the Registered Nurse (RN) provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 2 (#15 and #16) of 6 patients reviewed for Pressure Ulcers.

The agency failed to ensure the Registered Nurse or other appropriate skilled professional prepared written instructions for the Home Health Aide for 1 (#8) of 5 patients reviewed receiving home health aide services.

The agency failed to provide the patient and/or legal representative with the Administrator’s name in order to file complaints for 4 (#1, #2, #6, and #7) of 7 patients with home visits conducted.

The agency failed to ensure each patients’ comprehensive assessment included a review of all medications the patients were currently using.

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 2 (#15 and #17) of 17 sampled patients reviewed.

The agency failed to provide the patient and/or caregiver with a copy of written instructions of the Home Health outlining the visit schedule, including frequencies of visits consistent with the current plan of care for 7 (#1, #2, #3, #4, #5, #6, and #7) of 7 patient home visits conducted.

The agency failed to provide the patient and/or caregiver with a copy of written instructions of the patient’s medication regimen for 7 (#1, #2, #3, #4, #5, #6, and #7) of 7 patient home visits conducted.

The agency failed to have completed clinical documentation of skilled nursing services provided according to the Plan of Care (POC) for 1 (#9) of 17 patient records reviewed.

The agency failed to ensure a completed discharge summary was sent to the patients’ primary care practitioner or other health care professional responsible for providing care and services to the patient after discharge within 5 business days of the patients’ discharge from the agency for 6 (#4…

The agency failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) as evidenced by failing to ensure the agency successfully completed and transmitted OASIS data within 30 days of completion.

The Agency failed to ensure staff followed accepted standards of infection control practices for 3 (#1, #3, #6) of 7 (#1, #2, #3, #4, #5, #6, #7) patients observed during home visits.

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 (#1, #3, #4, and #5) of 7 (Patients #1, #2, #3, #4, #5, #6, and #7) sampled patients reviewed who received home…

The Agency failed to ensure skilled professionals assumed responsibility, according to Agency policy, for preparing and incorporating clinical notes in the clinical records of 3 (#1, #3, #12) of 17 (#1-#17) sampled patient records reviewed.

The agency failed to ensure the patient's written Plan of Care was followed as evidenced by HHA visits not conducted as ordered for 1 (Patient #12) of 6 (Patients #5, #8, #12, #15, #16, #17) sampled patient records reviewed that had orders for HHA services.

The agency failed to conform with physicians' orders by failing to ensure the following: 1. SN services were provided per physician's orders for 1 (Patient #4) of 17 (Patients #1-17) sampled patients reviewed for SN services; 2. PT services were provided in a timely manner for 1 (Patient #10) of 9…

The agency failed to ensure the OASIS data accurately reflected the patient's status at the time of assessment.

Based on interview and record review a registered nurse failed to complete the determination for homebound status for 4 (#1, #2, #4, #5) of 5 (#1, #2, #3, #4, #5) sampled residents.

The agency failed to ensure each patient and his or her caregiver received education and training regarding the care and services identified in the plan of care for 2 (#1, #3) of 5 (#1, #2, #3, #4, #5) sampled patients reviewed for care and services.