Nebraska Home Health Care, LLC

Deficiencies cited at 484.60 (a)(1) - G572, 484.60 (b)(3)(4)- G584, 484.60 (c)(1)- G 590; and 484.60 (d)(3)-G 606. Findings are: G 572 Based on review of clinical records, review of agency policy and procedures, and staff interview the agency failed to notify the physician for 2 of 7 patients (…

A deficiency cited at 484.105 (b)(1)(ii) - G948 Findings are: G 948 Based on review of clinical records, the agency's Position Description for the Home Health Administrator, policies and procedures and staff interviews the agency Administrator failed to organize and direct the day-to-day functions…

Staff interview the agency failed to notify the physician for 2 of 7 patients ( Patient 2 and 5) when services were not provided as ordered.

The agency failed to document the time physician verbal orders were received by the agency staff for 4 of 7 patients (Patient 2, 3, 4, and 6).

Agency policy and procedure and staff interview the agency failed to notify the physician when the need to alter the plan of care was identified for 3 of 7 patients reviewed (Patient 2, 3 and 5).

The agency failed to integrate and coordinate services as ordered by Patient 5's physician, with the contracted provider of physical and occupational therapy services.

Agency policy and procedure and staff interview the agency failed to provide services as ordered by the physician and indicated in the plan of care for 3 of 7 patient reviewed (Patients 2, 3, and 5).

The agency failed to obtain physician orders for the provision of Home Health Aides (HHA) services for 1 of 1 patients (Patient 5) who received skilled services and the services of a HHA.

Policies and procedures and staff interviews the agency Administrator failed to organize and direct the day-to-day functions of the agency to ensure compliance with state and federal regulations for home health agencies as required in the agency's Administrator Job Description.