Optimal Home Health

The Home Health Agency (HHA) failed to ensure that the Condition of Participation for Reporting OASIS Information was met as follows: The HHA failed to ensure, the Outcome and Assessment Information Set (OASIS, used to collect and report assessment data) were accurately reflect the patient's health…

The Home Health agency (HHA) agency failed to ensure the Condition of Participation regarding Care Planning, Coordination, Quality of Care was met as follows: 1. The HHA failed to follow the plan of care (POC) for five of ten patients (Patient 1, 2, 3, 4 and 10).

This condition is not met as evidence by: Based on interview and record review the home health agency (HHA) failed to develop and implement its policy and procedures regarding Coronavirus disease (COVID 19, a severe respiratory illness caused by virus and spread from person to person) infection…

The Home Health agency (HHA) agency failed to ensure the Condition of Participation regarding Skilled Professional Services was met as follows: 1. The HHA failed to ensure the skilled nurse (SN) assessed the skin and notify the physician regarding increased blood sugar and change of condition for…

The Home Health agency (HHA) agency failed to ensure the Condition of Participation for Organization and Administration of Services was met as follows: 1. The HHA governing body failed to execute their responsibilities for the agency's overall management and operation and provision of home health…

The Home Health agency (HHA) agency failed to ensure the Condition of Participation for Clinical Records was met as follows: 1. The HHA failed to ensure the Certified Home Health Aide (CHHA) documented and uploaded the current clinical notes for one of 10 sampled patients (Patient 9).

The Home Health Agency (HHA) failed to review and update their policy and procedure for emergency preparedness.

The Home Health Agency (HHA) failed to develop and maintain a training program for the agency staff to ensure each employee is able to perform their duties in the event of an emergency or disaster.

The Home Health Agency (HHA) failed to develop and maintain a testing program for all staffs to ensure each staff is aware of their duties in the event of an emergency or disaster.

The facility failed to ensure the Outcome and Assessment Information Set (OASIS) transmitted to the Centers for Medicare & Medicaid Services (CMS) were accurate and reflected the status of the patients at the time of the assessment, for two of 10 patients (Patients 3 and 6).

The home health agency (HHA) failed to follow the plan of care (POC) for five of ten sampled patients (Patient 1, 2, 3, 4, and 10).

The Home Health Agency (HHA) failed to ensure Quality Assessment and Performance Improvement (QAPI) program on the year 2021, that included procedure for measurement and analysis of indicators and address the frequency which measurement and analysis.

The Home Health Agency (HHA) failed to provide documented evidence the HHA's governing body approved the frequency and detail of the data collection done by the HHA's 2021 Quality Assessment and Performance Improvement (QAPI) program.

The Home Health Agency (HHA) governing body failed to execute their responsibilities to ensure: (1) An ongoing program for quality improvement and patient safety is defined, implemented, and maintained.

The home health agency (HHA) failed to develop and implement its policy and procedures regarding Coronavirus disease (COVID 19, a severe respiratory illness caused by virus and spread from person to person) infection control on employees’ vaccination requirements, for 29 out of 30 agency employees…

The home health agency (HHA) failed to ensure the skilled nurse (SN), during each visit to the patient, conduct skin assessment and status of the patient's pressure ulcer (areas of localized damage to the skin and underlying tissue), notify the physician when the patient's blood sugar level result…

The Home Health Agency (HHA) failed to ensure that at least 12 hours of in-service during a 12-month period was given to six of six Certified Home Health Aides (CHHA 1, CHHA 2, CHHA 3, CHHA 4, CHHA 5, and CHHA 6).

The home health agency (HHA) governing body failed to execute their responsibilities for the agency's overall management and operation and provision of home health services by failing to: 1. Ensure the skilled nurse (SN), during each visit to the patient, implemented the plans of care (POC) for two…

The facility failed to ensure nine out of 10 sampled patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, and 9) Outcome and Assessment Information Set (OASIS) were reviewed, approved and signed.

The Home Health Agency (HHA) failed to review and document all the medications the patient is currently using for 2 of 10 sampled patients (Patients 3 and 6).

The home health agency (HHA) failed to obtain a physician's order for the administration of Neosporin (used to prevent and treat minor skin infections caused by small cuts, scrapes, or burns) topical ointment to the left heel pressure ulcer (areas of localized damage to the skin and underlying…

The Home Health Agency (HHA) 2021 Quality Assessment and Performance Improvement (QAPI) program failed to provide documented evidence of the QAPI program that focuses on high risk, high volume, or problem-prone areas.

The Home Health Agency (HHA) 2021 Quality Assessment and Performance Improvement (QAPI) program failed to provide documented evidence identifying incidence, prevalence, and severity of problem areas.

The Home Health Agency (HHA) 2021 Quality Assessment and Performance Improvement (QAPI) failed to measure success and track performance to ensure that improvements were sustained.

The home health agency (HHA) failed to follow the Plan of Care (POC) for one of 10 sampled patients (Patients 1).

The Home Health Agency (HHA) failed to provide in-services to all licensed staffs.

The Home Health agency (HHA) failed to ensure nursing services are under the supervision of a Registered Nurse (RN) for nine of 10 patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, and 9).

The home health agency (HHA) failed to have qualified personnel by failing to: 1. Ensure one of 28 staff (Licensed Vocational Nurse 9 [LVN 9]) had the required experience to work for the agency.

The Home Health Agency (HHA) failed to ensure the Certified Home Health Aide (CHHA) documented and uploaded the current clinical notes for one of 10 sampled patients (Patient 9).

The home health agency (HHA) failed to discharge a patient and complete a discharge summary for one of 10 patients (Patients 2).

The home health agency (HHA) failed to ensure the comprehensive assessment demonstrated the continuing need for skilled nursing services for one of three sampled patients (Patient #1).

The Home Health agency (HHA) skilled nurse failed to evaluate the Plan of Care (POC) with the patients or representative, when the patients' care giver was not available for one month, for two of seven sample patients (Patient 4 and Patient 5).

In a Based on observation, interview and record review, the Home Health agency (HHA) failed to develop the plan of care (POC) prior to the recertification benefit started for three of seven sample patients (Patient # 4,5,and 6).

The home health agency (HHA) failed to ensure the clinical records of three of seven sampled patients (Patients 3, 4, 5) contained current skilled nurse visit notes.

The home health agency (HHA) failed to meet the Condition of Participation for acceptance of patients, plan of care and medical supervison, as follows: The agency staff failed to ensure the care provided for 3 of 12 sampled patients (Patients 6, 7 and 8) followed the written plan of care (POC) that…

The agency staff failed to ensure care provided for 3 of 12 sampled patients (Patients 6, 7, and 8) followed the written plan of care (POC) that was established by the physician for each patient.

The Skilled Nurse (SN) failed to promptly alert the attending physician to changes in condition that suggest the need to alter the plan of care for 1 of 16 sample patients (Patient 6).

The home health agency (HHA) failed to ensure the Skilled Nurse (SN) administered treatment as ordered by the physician for 1 of 12 sample patients (Patient 6).