Olidia Care Inc

The home health agency failed to meet the Condition of Participation: Organization and Administration Services 42 CFR 484.105. An Immediate Jeopardy (IJ) began on 4/12/23 when the administrator and/or clinical manager failed to have oversight of patient and personnel assignments, and respond to…

The agency failed to ensure 3 of 3 patients (P1, P2, and P5) reviewed were offered to participate in the plan of care (POC) following the 60-day assessments performed by agency registered nurses.

The agency failed to ensure the plan of care for 5 of 5 patients (P1, P2, P3, P4 and P5) reviewed accurately identified the frequency and duration of visits made to patients and other caregiver services patients were receiving when nursing services were not delivered.

The agency failed to ensure the availability and timely response of a clinical manager for staff providing nursing care and services for 5 of 5 patients (P1, P2, P3, P4, and P5) reviewed.

The agency failed to provide oversight of patient assignments for five complex patients for 5 of 5 patients (P1, P2, P3, P4 and P5) reviewed.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The agency failed to follow state law when they scheduled nurses over a normal work period of 12 hours incurring mandatory overtime in a 24-hour period for nurses per MN Statute 181.275 Regulating Nurses Overtime for 2 of 2 nurses (RN-C and RN-D) reviewed for patient care.

The agency failed to ensure neglect did not occur for 2 of 2 patients (P2 and P5) reviewed for neglect.

The home care agency failed to report the allegation of neglect for 2 of 2 patients (P2 and P5) when nursing staff was present to provide necessary care and services.

The agency failed to ensure the plan of care for 3 of 3 patients reviewed (P1, P2, and P5) accurately identified the frequency and duration of visits made to patients and other caregiver services patients were receiving when nursing services were not delivered.

The agency failed to coordinate the delivery of care to meet the needs of the patient for 3 of 3 patients reviewed (P1, P2, and P5) for care activities when nursing services were scheduled and/or not provided by the agency.

The agency failed to provide written information to the patient or patient representative for two of three residents (P1 and P2) reviewed for coordination of care.

The home health agency (HHA) failed to provide skilled professional services as indicated in the plan of care (POC) for 2 of 2 patients (P1 and P2) reviewed for receiving the necessary care and services.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The home health agency (HHA) failed to meet the Condition of Participation at 484.75, Skilled Professional Services.

The agency failed to ensure neglect did not occur for 1 of 1 patient (P2), reviewed for neglect.

The agency failed to thoroughly investigate an incident of neglect for 1 of 1 patient (P2) who was a ventilator-dependent patient, received tube feeding, oxygen, and had a portable suction machine.

The agency failed to ensure 1 of 1 patient (P1) plan of care (POC) was current and up to date according to physician orders to prevent medication errors.

The agency failed to ensure the plan of care (POC) included the patient psychosocial needs for 1 of 1 patient (P1) whose record was reviewed for attending school.

The home health agency (HHA) failed to provide skilled professional services as indicated in the plan of care (POC) for 3 of 3 patients (P1, P2, and P3) reviewed for the POC.

Based interview and record the facility failed to notify the physician when the HHA missed scheduled visits, treatments, and services as required by the plan of care for 1 or 1 patient, P1 reviewed for plan of care.

The facility failed to provide written instructions to the patient and family of the agency skilled nursing schedule, all forms signed on the admission, including the bill of rights, the service agreement, and the family education forms for 1of 1 patient, (P1) reviewed for coordination of care.

The facility failed to ensure all services outlined in the plan of care were implemented on 1 of 3 patient (P1) as assessed for cares provided when the facility had missed shifts of cares and did not ensure that the family was fully trained on all care areas of the care plan or if cares were…

The facility failed to coordinate care with family to meet a patient’s 24-hour care needs for 1 of 1 patient, P1, reviewed for coordination of care when nursing staff were not providing 24-hour care and nursing staff did not show up for multiple shifts.

The agency failed to investigate an allegation of neglect for 1 of 1 patient (P1), following a fall that resulted in a head injury when licensed practical nurse (LPN)-A was providing incontinent care and P1 rolled out of bed.

The agency failed to immediately report an allegation of neglect for 1 of 1 patient (P1), following a fall that resulted in a head injury when licensed practical nurse (LPN)-A was providing incontinent care and P1 rolled out of bed.

The agency failed to provide an accurate assessment for 1 or 1 patient (P1) when licensed practical nurse (LPN)-A entered clinical nursing notes for P1 several times prior to the start of her shift in advance of providing care to P1. P1's Home Health Certification and Plan of Care (POC) for the…

The home health agency (HHA) failed to provide all necessary medical information, to emergency medical services (EMS) for 1 of 1 patient (P1) reviewed for discharge and transfer.

The home health agency (HHA) failed to ensure appropriate infection control prevention measures were followed for 1 of 1 patient (P1) observed being suctioned during a home visit reviewed for patient rights.

The home health agency (HHA) failed to ensure there was process for ensuring all required staff had received at a minimum, the first dose of a multi-dose COVID-19 vaccine, before staff provide any care, treatment, or other services for the HHA and/or its patients for 4 of 4 employees; failed to…

The agency failed to inform the physician of services that were not provided and failed to provide services as indicated in the plan of care (POC) for 1 of 3 patients (P1) reviewed for services and patient rights.

The agency failed to ensure the patient's care delivery was coordinated with the power of attorney (POA) for 1 of 3 patients (P1).

The home health agency (HHA) failed to meet the Conditions of Participation at 484.50 Patient Rights.

The agency failed to ensure the provision of care and treatment was available and provided for 1 of 3 patients (P5) who required complex nursing services for care of a tracheostomy (an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing…

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The agency failed to provide services according to the plan of care approved by the medical provider 3 of 3 patients (P2, P3 and P4) who had missed services.

The home health agency (HHA) failed to provide services as indicated in the plan of care (POC) for 3 of 4 patients (P2, P3 and P4) reviewed for following POC.

The home health agency failed to provide a physician ordered treatment for 1 of 4 patients (P2) reviewed for conformance with physician orders.

The agency failed to ensure neglect did not occur for 1 of 1 patients (P1), reviewed for neglect.

The agency failed to immediately report to the State Agency (SA), an allegation of neglect for 1 of 1 patient (P1), who was nursing dependant and ventilator dependent and required 24-hour nursing care who was left unattended for 3 hours without a staffed nurse present on 6/2/21. P1's service…

The home health agencies (HHA) administrator failed to provide day to day operations of the agency to ensure proper staffing for 4 of 5 patients (P1, P5, P4, and P2) reviewed for staffing.

The home health agency (HHA) failed to ensure provision of 12-hour awake care and treatment for 1 of 1 patient (P1).

The agency failed to ensure an incident on neglect was reported immediately to the State Agency (SA) for one of one patient (P1) reviewed, whose nurse was sleeping during the provision of required 12-hour awake care.

The agency failed to follow the Centers for Disease Control and Prevention (CDC) and Minnesota Department of Health (MDH) recommendations for screening visitors/staff for COVID-19 and failed to utilize appropriate eye protection when caring for 2 of 2 patients (P1,P2) reviewed for infection Control…

The licensee failed to ensure an incident was reported immediately to the State Agency (SA) for one of one patient (P1) reviewed, whose nurse left at the end of her shift without assuring a family member was home.