New Dimension Homecare, Inc
Inspection 2018-11-29
· Recertification · 16 deficiencies · CMS source report (PDF)The facility failed to document the delegation of authority in an event of an emergency, resulting in the potential to hinder the Agency's ability to provide continued patient care for all patients receiving care.
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The Home Health Agency (HHA) failed to include a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document their efforts in contacting these officials…
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The agency failed to ensure the Emergency Preparedness (EP) Plan addressed procedures to inform State and local emergency preparedness officials about [Homebound Hospice, PACE or HHA] patients in need of evacuation from their residences at any time due to an emergency situation based on the…
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The Facility's Emergency Preparedness (EP) plan policies and procedures failed to address the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs…
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The agency failed to develop and maintain a communication plan for emergency preparedness affecting all patients served in the past 12 months, resulting in the facility not being able to communicate effectively with facility staff, volunteers, other health care providers and emergency preparedness…
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The agency failed to ensure the Emergency Preparedness (EP) Plan/Communication Plan included the names and contact information for each patient's physician, other facilities and volunteers affecting all patients served by the agency in the past 12 months, resulting in the agency not being prepared…
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The Agency (HHA) failed to develop and maintain an emergency preparedness training and testing program for staff that is based on the emergency plan, the risk assessment, policies and procedures, and the communication plan of this section.
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The Agency (HHA) failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, including contract employees and volunteers, and failed to maintain documentation of training, resulting in the potential for inappropriate, unprepared responses to…
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The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status in 5 of 10 records reviewed (MR# 1, 4, 6, 7 and 9) out of a total of 10 records reviewed, resulting in the potential for unmet care needs.
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The Home Health Agency (HHA) failed to ensure all disciplines follow their visit frequency and all services were provided as ordered by the physician on the Plan of Care (POC) for 2 of 10 records reviewed (MR #1 and 4), resulting in unmet care needs.
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The Registered Nurse (RN) failed to prepare clearly written patient care instructions and include safety precautions on the aide's care plan, and failed to maintain a current and updated care plan in 2 of 4 records in which Home Health Aide (HHa) services were provided (M.R. #1 and 4) resulting in…
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The Home Health Agency failed to ensure the administrator's contact information: name, business address and business phone number was provided to the patient, in order to receive patient or caregiver complaints for 92 of 92 active patients, resulting in the patient or caregiver not provided with…
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The Home Health Agency (HHA) failed to advise and provide their patients with the correct name of the State of Michigan department that receives complaints or questions regarding local Home Health Agencies for 92 of 92 active patients, resulting in not fulfilling the patients rights for having the…
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The Home Health Agency (HHA) failed to inform their patients of the names, addresses and phone numbers of the Federally-funded and State funded entities, in the areas where their patients resides for 92 of 92 active patients, resulting in failure to maintain the patients' informational rights and…
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The registered nurse failed to ensure the plan of care included safety precautions, reportable parameters, specific wound care frequency and specific individualized interventions based on the patients initial assessment, and objectively measurable goals and outcomes in 6 of 10 records reviewed…
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The home health agency failed to inform the patients of the contact information of the Clinical Manager for 10 of 10 patient records reviewed (M.R. #1, 2, 3, 4, 5, 6, 7, 8, 9, and 10), resulting in the patients not being informed of the person to contact regarding their care and a potential of…
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