Moonlight Home Health Care Inc

The agency failed to ensure the physician was notified of the missed visits.

The agency failed to ensure the physician was notified of the missed visits.

The agency failed to ensure the home health aide (HHA) care plan was reviewed by a registered nurse every 60 days.

The agency failed to provide skilled nursing services.

The agency failed to ensure the home health aides (HHA) provided the services as ordered.

The agency failed to ensure the physician’s plan of care was reviewed and signed by the physician every 60 days.

The agency failed to ensure the ordered hours of service was provided.

The agency failed to ensure the home health aides followed the Aide Care Plan.

The agency failed to ensure patients received home health services as written in the plan of care for three (Patient #2, #3 and #4)of four patients reviewed.

The agency failed to ensure the care plans included the frequency and duration of aide visits to be made for two (Patient #1 and Patient #3) of four patients reviewed.

The agency failed to manage and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care to achieve the goals and outcomes identified in the patient's plan of care, for each patient's medical, nursing, and rehabilitative needs.

The agency failed to ensure the Administrator was responsible for day-to-day operations of the agency by not following the agency's policies on criminal background checks and employment for two home health aides (Staff C and Staff D) out of two personnel files reviewed for criminal background…

The agency failed to develop, implement, evaluate, and maintain an effective, ongoing, home health agency (HHA) wide, data-driven Quality Assurance Performance Improvement (QAPI) program per the requirements of: 42 CFR 484.65 On 02/06/24 at 3:00 PM, the surveyor requested information regarding the…

The agency failed to ensure a qualified home health aide (HHA) was a person who successfully completed a training and competency evaluation program as specified in paragraphs (b) and (c) respectively of this section; or a competency evaluation program that meets the requirements of paragraph (c) of…

The governing body (or designated persons so functioning) failed to assume full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, fiscal operations, review of the agency's budget and its operational plans, and its…

The agency failed to ensure the home health aide (HHA) competency evaluation addressed each of the subjects listed in paragraph (b)(3) of this section and where indicated, subject areas of this section must be evaluated by observing an aide's performance of the task with a patient or pseudo-patient.

The agency failed to ensure home health aides (HHA) received at least l2 hours of in-service training during each 12-month period for three of four HHA personnel filed reviewed (Staff D, E, and J).

The agency failed to ensure the home health aides (HHA) are assigned to a specific patient by a registered nurse (RN).

The governing body (or designated persons so functioning) failed to assume full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, fiscal operations, review of the agency's budget and its operational plans, and its…

The agency failed to ensure a qualified home health aide (HHA) was a person who successfully completed a training and competency evaluation program as specified in paragraphs (b) and (c) respectively of this section; or a competency evaluation program that meets the requirements of paragraph (c) of…

The agency failed to ensure the Administrator was appointed by the Governing Body.

The agency failed to ensure the parent agency provides direct support and administrative control of its branches.

The agency failed to ensure patients received home health services as written in the plan of care for two of five patients reviewed (Patient #1 and #2).

The agency failed to ensure patient complaints/incidents were investigated for three of five incidents reviewed.

The agency failed to ensure all services were provided only as ordered by the physician or allowed practitioner for three of five patients reviewed (Patient #1, #2 and #3).

The agency failed to ensure a qualified home health aide (HHA) was a person who has successfully completed a training and competency evaluation program as specified in paragraphs (b) and (c) respectively of this section; or a competency evaluation program that meets the requirements of paragraph…

The clinical manager failed to ensure the agency employs qualified personnel for five of five personnel files reviewed (Staff D, G, I, J, and L). this could affect all patients receiving services from the agency.

The agency failed to report all branch locations to the state survey agency at the time they proposed to add a branch location.

The agency failed to provide home health services as written in the plan of care for two of two patients reviewed (Patient #2 and #4).

The agency failed to ensure the home health aide (HHA) provided services that are included in the plan of care for one of two patients reviewed (Patient #2).

The agency failed to home health services as written in the plan of care for two of three patients reviewed (Patient #2 and #3).

The agency failed to ensure the home health aide (HHA) provides services that are included in the plan of care for one of three patients reviewed (Patient #3).

The agency failed to document the existence of the complaint and the resolution of the complaint for two of two records reviewed (Patient #1 and #2).

The agency failed to ensure home health aides provided services that were included in the plan of care (G800).

The agency failed to ensure each patient received home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry for…

The agency provided a home health aide training program and competency evaluation program after being precluded for three of three personnel files reviewed (Staff B, C and D).

The agency failed to document both the existence of a complaint and the resolution of a complaint for one of three patients reviewed with complaint investigations (Patient #1).

The agency failed to ensure a registered nurse conducted an initial assessment visit to determine the immediate care and support needs for six of nine medical records reviewed (Patient #4, #5, #6, #7, #8 and #9).

Based medical record review, policy review, and interview, the agency failed to ensure the individualized plan of care included the patient's mental, psychosocial, and cognitive status, functional limitations, activities permitted, and measurable outcomes and goals identified by the agency and the…

The agency failed to ensure home health aides provided services that were included in the plan of care for one of nine medical records reviewed (Patient #1).

The agency failed to ensure a registered nurse made an on-site visit to the location where patients are receiving care no less frequently than every 60 days in order to observe and assess each aide while he or she is performing care for six of nine patients reviewed (Patient #4, #5, #6, #7, #8 and…

The Administrator failed to ensure that the agency employed qualified personnel for two of three personnel files reviewed (Staff B and C).

The agency failed to report all branch locations of the home health agency (HHA) to the State survey agency at the time the parent proposes to add or delete a branch.

The agency failed to ensure one patient (Patient #1) of four medical records reviewed received home health aide services in accordance with the plan of care.

The agency failed to report all branch locations to the State Agency.

The facility failed to provide home health aide services and failed to provide a plan of care.

The agency failed to have an infection control program that coordinated staff behavior to prevent the spread of COVID 19. This had the potential to affect all patients and staff.

The facility failed to provide home health aide services as ordered and failed to ensure patients had a care plan.

The facility failed to have a policy to coordinate efforts to prevent the infection and spread of Covid-19. This had the potential to affect all patients and staff.

The agency failed to conduct annual emergency preparedness training to all staff.

The agency failed to conduct a second drill to test the emergency preparedness plan.

The agency failed to provide an updated medication profile with current medications for one of seven patients reviewed (Patient #1).

The agency failed to provide home health aide (HHA) services as ordered on the HHA plan of care for three of seven patients receiving HHA services (Patient #1, #4 and #6).