My Care at Home, Home Health Care Services, LLC
Inspection 2019-11-13
· Complaint, Recertification · 7 deficiencies · CMS source report (PDF)The agency failed to ensure the governing body maintained a quality assessment and performance improvement (QAPI) program to evaluate its effectiveness of patient care for all 8 active patients of the agency.
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The governing body failed to ensure the agency maintained a quality assessment and performance improvement program (QAPI) or that a frequency for data collection had been established.
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The agency failed to ensure that the patient received home health aide service frequencies as indicated on the signed consent for 1 of 6 patients who received home health aide care services only, in a sample of 7 records reviewed.
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The agency failed to ensure the complaint log binder was kept up to date and failed to ensure complaints were investigated and resolved for 1 of 1 agency.
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The agency failed to ensure the frequency and duration of visits were specific to the needs of the individual patient (#2, 3, and 7) in 3 of 7 records reviewed; and failed to ensure that goals were individualized and measurable for the patient's needs (#7) in 1 of 7 records reviewed.
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The agency failed to ensure the coordination of medication delivery so that all medications ordered on the plan of care were made available to the patient for 1 of 7 records reviewed.
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The agency failed to ensure the patient had all medications ordered on the plan of care for 1 of 1 patient requiring skilled services in a sample of 7 records reviewed.
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