Nightingale Home Health of Nevada

The Home Health Agency (HHA) failed to ensure two of nine patients (Patient (P) 2 and P4) received services as ordered by the physician as identified in the Plan of Care (POC).

The Home Health Agency (HHA) failed to provide the name of the Administrator for one of one patient (Patient (P) 2) reviewed during a home visit observation.

The Home Health Agency (HHA) failed to receive and document a patient grievance regarding the care for a one of nine sample patients (Patient (P) 6) he HHA’s failure to recognize, document and respond to the patient’s grievance places all patients at risk of presenting the HHA with a grievance and…

The Home Health Agency (HHA) failed to ensure patients received services as outlined in the Plan of Care (POC) for two of nine patients (Patient (P) 2 and P4).

The Home Health Agency (HHA) failed to include physician orders identified in the referral information in the individualized Plan of Care (POC) or include goals related to the specific physician orders for two of nine patients (Patient (P) 2 and P4).

The Home Health Agency (HHA) failed to provide a written schedule of visit frequency for one of one patient (Patient (P) 2) reviewed during a home visit observation.

The Home Health Agency (HHA) failed to provide the patient or caregiver with a written schedule of medications for one of one patient (Patient (P) 2) reviewed during home visit observations.

The Home Health Agency (HHA) failed to provide the patient or caregiver with the name of the Director of Clinical Services for one of one patient (Patient (P) 2) reviewed during home visit observations.

The home health agency (HHA) failed to include procedures that identified when and how information about patients in need of evacuation would be communicated to state and local disaster officials during an emergency.

The home health agency (HHA) failed to maintain an effective ongoing Quality Assurance and Performance Improvement (QAPI) program that included tracking, trending, and analysis of adverse events.

The Home Health Agency (HHA) failed to maintain an infection control program that included ongoing surveillance, investigation, and analysis of data which included a method for identifying infections and risk for infections.

The home health agency (HHA) failed to complete the initial assessment within 48 hours of the referral, return home, or on the physician specified date for four of ten patients (Patient (P)3, P4, P7, and P10).

The home health agency (HHA) failed to have a HHA nurse review the list of medications on admission for four of four patients (Patient (P)2, P3, P4, P10) admitted by a Physical Therapist (PT).

The home health agency (HHA) failed to ensure that a current medication list was provided to the patient and/or caregiver for eight of ten patients (Patient (P)2, P3, P4, P5, P6, P7, P9, and P10).

The home health agency (HHA) failed to have a qualified Administrator (or pre-designated person) appointed by the Governing Body available during all operating hours.

The agency failed to consult with the patient's physician regarding modifications to the original plan of care for 1 of 7 patients.

The facility failed to identify all medications taken by the patient to identify any potential adverse effects or drug reactions for 1 of 7 patients.