New Era Home Care, Inc

The agency failed to maintain compliance with this condition of participation.

The Agency (HHA) failed to include contact information for the Home Health Agency's Administrator in the agency's Patient Admission/Orientation Packet (G414); failed to ensure the patient's Activity of Daily Living (ADL) needs were adequately met in the patient's home for 1 of 1 patient (MR #1)…

The agency failed to maintain compliance with this condition of participation.

The Agency (HHA) failed to measure, track and analyze it's quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided (G642); failed to develop Performance Improvement activities, as part of the Agency's QAPI (Quality…

The Agency (HHA) failed to ensure the clinical record was complete and included all comprehensive assessments, clinical notes, plans of care and physician orders for 2 records (MR# 3, 2) from a total of 7 sampled records (G1012); failed to ensure a discharge summary had been prepared for 2 of 2…

The agency failed to develop an emergency preparedness plan that must be reviewed and updated at least annually.

The agency failed to develop and establish written emergency preparedness policies and procedures that must be reviewed updated at least annually.

The agency failed to develop and establish written emergency preparedness policies and procedures that must be reviewed updated at least annually.

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.

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…

The agency failed to conduct exercises to annually test the emergency plan or provide documentation of an actual event that would qualify as a test of the emergency plan; failed to conduct an additional full-scale exercise or a table-top exercise; and failed to analyze the agency's response to and…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status in 1 of 7 records reviewed (MR# 6) out of a total of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the patient received services as ordered in the plan of care for 2 of 7 records reviewed (MR# 5 and 7), from a total sample of 7 records reviewed, resulting in the potential for unmet care needs and the potential for failure to achieve the goals and measurable outcomes…

The Agency (HHA) failed to measure, track and analyze its quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided.

The Agency (HHA) failed to develop Performance Improvement activities, as part of the Agency's QAPI (Quality Assessment Performance Improvement) program, in order to track and trend adverse patient events, analyze the cause and implement preventive interventions, resulting in the potential for the…

The Home Health Agency (HHA) failed to develop a QAPI Quality Assessment Performance Improvement (QAPI) program that documented the quality improvement projects, the reasons for conducting these projects with measurable progress achieved on these projects for 2017 and 2018, resulting in the…

The Governing Body failed to ensure the Agency (HHA) had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all the regulatory requirements of this section, addressed priorities for improved quality of care and patient safety and was evaluated for…

The Agency (HHA) failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the HHA's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for…

The agency failed to ensure home health aide (HHa) skills were evaluated by observing the aide's performance of the tasks with a patient prior to performing services as an HHa for the agency for 1 of 1 aides (HHa#1), from a total sample of 2 aide personnel files reviewed, resulting in the potential…

The administrator failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The agency failed to ensure patient records were retained for 5 years after the discharge of the patient in 1 of 2 discharged patients (MR #6), from a total sample of 7 records reviewed.

The agency failed to ensure patient records were safeguarded against loss or unauthorized use in 3 patient records (MR# 6, 3, 2), from a total sample of 7 records reviewed.

The agency failed to ensure patient records were retrievable for use after discharge of the patient in 1 of 2 discharged patients, from a total sample of 7 records reviewed.

The Agency (HHA) failed to include contact information for the Home Health Agency's Administrator in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

The Agency (HHA) failed to ensure the patient's Activity of Daily Living (ADL) needs were adequately met in the patient's home for 1 of 1 patient (MR #1) observed during a home visit, resulting in poor hygiene, psychological decline and potential for injury.

The Agency failed to ensure that all complaints were fully investigated in 11 of 11 (#1 - #11) complaints reviewed, resulting in unresolved concerns and the potential for the provision of substandard care.

The Agency (HHA) failed to ensure that all received complaints documented the resolution of the complaint and referral to the appropriate state agency resulting in the potential for unmet care needs.

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any potential adverse effects, significant drug interactions and duplicate drug therapy; and failed to ensure the physician was notified of the findings in 3 records reviewed (MR# 2, 3 and 6)…

The agency failed to ensure that the comprehensive assessment (including OASIS, outcome and assessment information set) was updated at the time of discharge in 2 of 2 discharged records reviewed (MR# 6, 3), from a total sample of 7 records reviewed, resulting in an incomplete assessment of the…

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 3 of 7 records reviewed (M.R.#s 5, 6 and 7), and failed to ensure safety precautions were documented on care plans, resulting in the potential for patient harm and a plan of care not meeting the…

The Agency (HHA) failed to include contact information for the Home Health Agency's Clinical Manager in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

The Agency (HHA) failed to ensure the Physical Therapist (PT) assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 1 of 7 records in which Physical Therapy services were ordered, from a total sample of 7 records reviewed (MR #3) resulting…

The agency failed to ensure that Medical Social Work (MSW) and Occupational Therapy (OT) services were provided in accordance with the physician's orders and the plan of care in 1 of 1 records reviewed (MR#7, 1) in which MSW services were ordered, and 1 of 1 (MR #1) record in which OT services were…

The Agency (HHA) failed to ensure a qualified alternate, was authorized in writing by the Administrator and the governing body, to function in the Administrator's absence, resulting in the potential for uncoordinated Agency functions.

The Agency failed to ensure the clinical record was complete and included all comprehensive assessments, clinical notes, plans of care and physician orders for 1 record (MR# 3) from a total of 7 sampled records, resulting in an incomplete clinical record that fails to communicate a clear and…

The agency failed to ensure that the discharge summary was sent to the physician within 5 business days of the patient's discharge or within 2 business days of the patitent's transfer in 2 of 2 discharged records (MR# 6, 3), from a total sample of 7 records reviewed, resulting in the physician not…