Nexus Home Health Care, Inc

The Agency failed to ensure the emergency plan included strategies for addressing the emergency events identified by the risk assessment, resulting in the potential to affect the Agency's ability to provide patient care in the event of an actual emergency.

The Agency (HHA) failed to have 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 the it's efforts in contacting these officials to engage in…

The Agency failed to include in its emergency plan the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the Agency is…

The Agency (HHA failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws that included the following required subject areas (1) Names and contact information for the following: (i) Staff, (ii) Entities providing services under…

The Agency failed to ensure the communication plan included a method for sharing information and medical documentation for patients under the Agency's care with other providers to maintain continuity of care, resulting in the potential to affect the Agency's ability to provide pertinent patient…

The Agency (HHA) failed to provide documentation for the required annual tabletop and community based full-scale exercises nor any documentation of an actual event that would qualify as a test of the emergency plan, resulting in the potential to affect all patients and staff, in the event staff is…

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 home health agency (HHA) failed to ensure the public information material in the patient's "Patient Orientation for Home Health Care" packet was accurate, resulting in the potential for patient complaints or concerns to go unaddressed.

The Agency (HHA) failed to provide skilled services ordered on the plan of care for 1 of 7 patients from a total of 7 records reviewed (MR #3), resulting in the potential for poor patient outcomes.

The agency failed to inform the patient/caregiver before care was initiated, of the extent to which payment for the home health agency services may be expected from Medicare or other insurance sources and the extent to which payment may be required from the patient in 3 of 7 records (MR #'s 1, 6…

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, and history of events leading to current home care needs; and…

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 6 of 7 records reviewed (M.R.#s 1, 2, 3, 4, 6 and 7), resulting in the potential for a plan of care not meeting the patient's needs.

The agency failed to ensure that the discharge and transfer summary was sent to the physician within 5 business days of the patient's discharge or within 2 business days of the patients transfer in 1 of 1 closed record (MR# 3) and in 1 of 1 transfer record (MR#2), from a total sample of 7 records…