Nationwide Healthcare Services, Inc.

The provider failed to maintain current emergency plans for 6 of 8 sampled patients (Patients# 1, 4, 5, 8, 9, and 10).

The provider failed to ensure the Home Health Aide followed the Aide Care Plan for 1 of 2 sampled patients (Patient# 1).

The Registered Nurse failed to adequately supervise the Home Health Aide to ensure they followed the Aide Care Plan for 1 of 2 sampled patients (Patient# 1).

The provider failed to ensure the plan of care was implemented for 3 of 5 sampled patients (Patients# 2, 4, and 5).

The provider failed to ensure that all new and existing staff participated in the emergency preparedness training at least every 2 years and maintain documentation of all emergency preparedness training.

The provider failed to demonstrate the patient received all services outlined in the plan of care for 1 out of 10 Sampled Patients (SP).

The home health agency is unable to demonstrate a completed discharge summary for 2 out of 10 Sampled Patients (SP).

The home health aide(s) failed to provide services as ordered by the physician in the plan of care for 3 out of 6 Sampled Patients.

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the…

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster…

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop and implement emergency preparedness policies and procedures must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws that includes Names and Contact information for the Staff; Entities providing services under arrangement; Patients' physicians; Other [facilities] and Volunteers.

The provider failed to develop and maintain an emergency preparedness communication plan that includes contact information for Federal, State, tribal, regional, and local emergency preparedness staff and other sources of assistance.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to develop an emergency preparedness training and testing program that is based on the emergency plan.

The provider failed to ensure that all new and existing staff participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to electronically transmit each OASIS (Outcome and Assessment Information Set) data within 30 days of completing the assessment of the beneficiary for 2 out of 7 Sampled Patients (SP) SP#1 and SP#4 Findings include: Record review of the facility's OASIS Agency Final Validation…

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days in 2 out of 7 Sampled Patients (SP).

The provider failed to complete a comprehensive resumption of care (ROC) assessment within 48 hours of the patient's return to the home from a hospital admission in 1 out of 7 Sampled Patients (SP).

The provider failed to complete a discharge comprehensive assessment in a timely manner in 1 out of 7 Sampled Patient (SP).

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 3 out of 5 employee record reviews.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 1 out of 7 Sample Patients (SP).

The provider failed to document in the home health aide supervision the following elements: complying with infection prevention and control policies and procedures; reporting changes in the patient's condition; and honoring patient rights in 1 out of 7 Sampled Patients (SP).

The clinical manager failed to maintain oversight that include making patient and personnel assignments for 1 out of 7 Sampled Patients (SP).

The provider failed to include in the clinical record all of the assessments from the most recent home health admission on 1 out of 7 Sample Patients (SP).

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…

The provider failed to ensure that all entries were legible and clear for 3 out of 3 (#1, #2, #3) sample patients (SP).

The provider failed to document the existence of an investigation of complaints from 2 out of 3 ( #2, #3) sample patients (SP).

The provider failed to document the existence of an investigation and resolution of complaints from 2 out of 3 ( #2, #3) sample patients (SP).

The Home Health agency failed to ensure that a recertification assessment was completed and documented every 60 days for two out of three Sampled Patients (SP) reviewed.

The provider failed to include in the individualized plan of care the following a description of the patient's risk for emergency department visits and hospital re-admission and Information related to any advanced directives on 3 out of 3 (#1, #2, #3) Sampled Patients (SP).

The provider failed to conduct an annual evaluation for 1 out of 1 (B) licensed practical nurse.

The Home Health agency failed to ensure that two out of three Sampled Patients(SP)' records contained clinical notes that reflected the skilled nursing services provided.