Mother's Care Home Health Services, Inc

The agency failed to provide documented evidence the agency’s emergency preparedness (EP) plan had been reviewed and updated at least every two years.

The agency failed to provide documented evidence the agency’s emergency preparedness (EP) plan included a facility-based and community-based risk assessment utilizing an all-hazard approach.

The agency failed to provide documented evidence the communication plan of the agency’s emergency preparedness (EP) plan contained the contact information for the staff, entities providing services under arrangement, and other sources of assistance.

The agency failed to provide documented evidence employees had signed and completed training on the agency’s emergency preparedness (EP) plan for 10 of 10 employee files reviewed (Employee 1 to 10).

The agency failed to electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for 4 of 11 quarters since the last recertification survey in April 2021. Findings include: According to the state's…

The agency failed to ensure the Social Worker (Employee 9) hired to provide the medical social services obtained a master’s or doctoral degree in social work.

The agency failed to ensure it facilitated a transfer or appropriate follow-up for speech therapy that could meet a patient's needs for 1 of 7 sampled patients (Patient 7).

The agency failed to ensure the comprehensive assessment included an accurate patient medication record for 1 of 7 sampled patients (Patient 1).

The agency failed to ensure physician’s orders were obtained and followed for skilled visits for 2 of 7 sampled patients (Patient 1 and 7); and weight assessment was performed in accordance with the physician order for 1 of 7 sampled patients (Patient 4).

The agency failed to develop an accurate resumption of the plan of care for 1 of 7 sampled patients (Patient 7).

The agency failed to ensure an updated and accurate medication profile was provided to the patient and caregiver for 1 of 7 sampled patients (Patient 1).

The agency failed to ensure ordered skilled nursing visits were documented as conducted for 1 of 7 sampled patients (Patient 6).

The home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based medical record system.