Neocare Home Care

The agency failed to ensure their emergency preparedness plan was reviewed and updated at least every 2 years (See E0004); failed to ensure emergency preparedness policies and procedures based on the emergency plan, risk assessment and communication plan were implemented, reviewed, and updated…

The agency failed to ensure the clinical record contained completed assessments and visit notes for 2 (P- 4, and 6) of 7 records reviewed, resulting in a lack of information for the physician and all agency staff caring for these patients (See G1012); failed to ensure the clinical record contained…

The agency failed to ensure their emergency preparedness plan was reviewed and updated at least every 2 years, resulting in the potential to negatively affect the health and safety of the agency's patients in the event of an emergency.

The agency failed to ensure emergency preparedness policies and procedures based on the emergency plan, risk assessment and communication plan were implemented, reviewed, and updated every 2 years, resulting in the potential for poor patient outcomes during the event of an emergency.

The agency failed to maintain an Emergency Preparedness communication plan that was updated at least every 2 years, resulting in the inability to coordinate patient care for the agency's 2 current patients in the event of an agency-based emergency or community disaster.

The agency failed to ensure all staff received emergency preparedness training at least every 2 years resulting in the potential to negatively affect the health and safety of the agency's 2 current patients.

The agency failed to ensure exercises to test the emergency preparedness plan were conducted annually according to the regulation, resulting in the potential for poor patient outcomes in the event of an emergency.

The agency failed to ensure the transfer summary included medical information pertaining to the patient’s current course of illness and treatment, post-discharge goals of care, and treatment preferences in 2 (P-1, and 7) of 7 records reviewed, resulting in the potential for an unsafe and…

The clinical record." P-4: This 99-year-old patient was admitted to the agency on 1/23/24 with the diagnoses of bilateral shoulder pain, difficulty walking, and generalized weakness.

The agency failed to implement, evaluate, and maintain an agency-wide, data driven Quality Assessment and Performance Improvement program annually.

The agency failed to document the reasons for conducting performance improvement projects undertaken and the measurable progress achieved on these projects, resulting in the potential for poor quality outcomes for the 32 patients admitted to the agency in the past 12 months.

The governing body failed to ensure the agency maintained an agency-wide, data driven Quality Assessment and Performance Improvement program annually, resulting in the lack of oversight by the governing body to ensure patient safety and quality of care improvements for the 32 patients admitted to…

The agency failed to ensure home health aide services were provided as outlined in the plan of care in 1 (P-1) of 7 sampled records reviewed potentially resulting in unmet patient care needs.

The agency failed to ensure the initial assessment was performed within 48 hours of referral in 3 (P-3, 4, and 7) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the comprehensive assessment was performed within 5 days of the start of care in 4 (P-2, 3, 4, 6) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the comprehensive assessment included an accurate review of all medications in 1 of 7 (P-7) records reviewed, resulting in the potential for harmful medication effects for all patients serviced by this agency.

The agency failed to ensure the plan of care included individualized, patient-specific, measurable outcomes and goals in 7 (P-1, 2, 3, 4, 5, 6 and 7) of 7 sampled records reviewed potentially resulting in insufficient information to adequately assess patient progress.

The agency failed to ensure the physician was promptly notified of elevated pain levels outside of the reportable parameters in 1 (P-3) of 7 sample records reviewed resulting in the potential for untreated health concerns and unmet patient needs.

The agency failed to ensure skilled professionals performed assessments of the patient's health status in 2 of 7 (P- 6, 7) records reviewed, resulting in the potential for unidentified health concerns, decline in physical functioning, and poor patient outcomes.

The agency failed to ensure services were provided by skilled professionals as ordered by the physician or allowed practitioner as indicated in the plan of care in 2 (P-4, and 6) of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure skilled nursing communicated with the physician to obtain orders for 1 of 7 (P-7) records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to ensure the clinical record contained completed assessments and visit notes for 2 (P- 4, and 6) of 7 records reviewed, resulting in a lack of information for the physician and all agency staff caring for these patients.

The agency failed to ensure the clinical record contained goals for care in the patient’s plans of care for 2 (P-1, and 2) of 7 sample records reviewed resulting in difficulty determining the patient's progress toward achievement of goals.

The agency failed to ensure contact information for the patient was updated and accurate in 1 (P-4) of 2 records reviewed with home visits, resulting in the potential for unmet care needs during an emergency.

The agency failed to ensure a completed transfer summary was sent within 2 business days of becoming aware of an unplanned transfer in 3 (P-1, 5, and 7) of 7 records reviewed, resulting in the potential for unmet care needs.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to ensure the registered nurse included safety measures in the patient care instructions for the home health aide in 1 of 2 (MR# 5) records reviewed in which the patient received home health aide services, resulting in the potential for the provision of unsafe care for this…

The agency failed to ensure the patient record included all required documents that were completed in a timely manner in 1 of 3 discharged records (MR#2) resulting in the patient not having a complete medical record to use as a resource for future health needs.

The agency failed to ensure the physician was notified of potential drug interactions for 2 of 7 (MR# 4, 6) records reviewed, resulting in the potential for harmful medication effects for these patients.

The agency failed to include all necessary treatments in the plan of care for 2 of 7 records reviewed (MR# 2, 4, 7), and failed to include objectively measureable goals to determined progress towards goals (MR#s 1, 2, and 3), resulting in the potential for patient decline and poor patient outcomes.

The agency failed to ensure the registered nurse performed assessments and re-assessments using objective measurements to determine if the patient's health status was improving or worsening during the course of care in 1 of 7 records reviewed in which nursing services were provided out of a total…

It was noted the physical therapist failed to provide the patient a written copy of the PT prescribed exercise program for the patient to use on days physical therapy was not providing services in the home for 1 of 6 records in which PT services were provided, resulting in the potential for decline…

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge for 1 of 2 (MR# 5) records reviewed in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's health status at the…