Paragon Home Healthcare

The home health agency failed to ensure patients were provided the correct telephone number to place a complaint with the department of health for 1 of 1 agency.

The home health agency failed to collaborate with the patient and physician regarding possible discharge for cause for 2 of 2 discharge for noncompliance patient records reviewed (Patient #1 and 4).

The home health agency failed to make efforts to resolve the noncompliance problems for 2 of 2 discharge for noncompliance patient records reviewed (Patient #1 and 4).

The home health agency failed to provide the patient with contact information for other home health agencies who may be able to provide care for 2 of 2 discharge for noncompliance patient records reviewed (Patient #1 and 4).

The home health agency failed to document the problem and efforts made to resolve the problem in the clinical record for 2 of 2 discharge for noncompliance patient records reviewed (Patient #1 and 4).

The home health agency failed to ensure the recertification POC was established and reviewed by the attending physician/practitioner (See G572); failed to ensure all verbal orders were recorded in the POC (See G576); failed to ensure services were provided only as ordered by a physician or allowed…

The home health agency failed to ensure the HHA was qualified to provide home health services (See G754); failed to ensure the HHA obtained the appropriate HHA training (See G760); failed to ensure the HHA performed the required competency skills evaluation tasks with a patient or pseudo patient…

The home health agency failed to ensure the patient address was in accurate the medical record (See G1018); failed to submit the discharge summary to the physician within 5 days of discharge (See G1022); and failed to ensure documentation was complete, accurate, and authenticated (See G1024).

The home health agency failed to develop and maintain an EP communication plan which includes contact information for regional and local EP staff of all counties served, which had the potential to affect all active patients and staff.

The home health agency failed to ensure all office staff were trained in EP for 1 of 1 office staff file reviewed (Admin 9).

The home health agency failed to conduct an after-action review of its tabletop exercises, which had the potential to affect all active patients and staff.

The home health agency failed to ensure OASIS transmissions were submitted on time for 1 of 1 agency.

The agency failed to ensure the recertification POC was established and reviewed by the attending physician/practitioner for 3 of 7 patient records reviewed with a recertification (Patient #2, 4 and 7).

The home health agency failed to measure, analyze, and track patient use of emergent care services, which had the potential to affect all agency patients.

The home health agency failed to document the measurable progress achieved on performance improvement projects (PIP), which had the potential to affect all active patients.

The agency failed to ensure employees followed standards of practice for hand hygiene, bag technique and cleaning of equipment to reduce the spread of infections for 2 of 3 home visit observations with a SN (Patient #1 and 11) and 1 of 1 home visit observation with a PTA (Patient #10).

The home health agency failed to ensure the HHA performed the required competency skills evaluation tasks with a patient or pseudo patient (person acting as a patient) for 2 of 2 new hired HHA’s in the past year (HHA 2 and HHA 3).

The home health agency failed to ensure HHA’s had the required in-service training hours for 2 of 2 HHA’s who have been employed greater than 12 months (HHA 2 and HHA 3).

The agency failed to ensure documentation was complete, accurate, and authenticated for 5 of 12 active records reviewed (Patients #4, 5, 9, 11, and 12).

The home health agency failed to ensure patients were informed about and received the initial therapy assessment for 2 of 4 active records reviewed with a referral for therapy services in the past 40 days (Patient #9 and 12) and 1 of 2 discharge records reviewed with discharge in the past 30 days…

The home health agency failed to ensure the patient received all visits as ordered on the POC for 4 of 5 active records reviewed with SOC in the past 40 days (Patient #1, 3, 7 and 13) and 2 of 2 discharged records reviewed with discharge in the past 30 days (Patient #14 and 15).

The home health agency failed to document and investigate complaints regarding treatment of care which failed to be furnished for 1 of 2 records reviewed which evidenced a report was made to the agency that treatment failed to be furnished by staff (Patient #15).

The home health agency failed to conduct an initial assessment to determine the patient's immediate care and support needs within 48 hours of referral for 4 of 5 active records reviewed with SOC in the past 40 days (Patient #1, 3, 12 and 13) and 1 of 1 discharged record reviewed with SN services in…

The home health agency failed to ensure the RN performed a wound assessment during the recertification comprehensive assessment for 1 of 1 active clinical record reviewed with wounds and HHA services (Patient #9).

The home health agency failed to ensure the comprehensive assessment included an accurate review of all medications the patient was currently taking for 2 of 6 home visit observations conducted (Patients #1, #10).

The RN failed to update the comprehensive assessment within 5 days of recertification for 2 of 5 active records reviewed with wounds (Patient #2 and 9).

The home health agency failed to ensure all verbal orders were recorded in the POC according to agency policy for 5 of 16 records reviewed (Patients #5, 6, 7, 10, 15).

The home health agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for 6 of 7 active patient records reviewed with wounds (Patient #1, 2, 4, 7, 9 and 11) and 1 of 1 patient record reviewed with a home visit observation with a PTA (Patient #10).

The home health agency failed to ensure all verbal orders were authenticated and signed by the ordering physician or practitioner within 30 days for 2 of 14 complete records reviewed (Patients #10, #15).

The home health agency failed to ensure the POC was reviewed with the physician or attending practitioner no less frequently than once every 60 days, for 4 of 6 active records reviewed with a recertification (Patient #1, 2, 7 and 9).

The home health agency failed to promptly alert the physician for a change in the patient condition and/or need to alter the POC for 1 of 1 record reviewed which evidenced a patient fall (Patient #15) and 2 of 4 records reviewed which evidenced missed visits (Patient #4, #15).

The home health agency failed to provide a plan of care to the patient in a timely manner for 2 of 6 home visit observations (Patients #10, #13).

The home health agency failed to provide the patient and/or caregiver with accurate clinical manager information for 9 of 9 active patients reviewed with SOC in the past 90 days (Patient #1, 2, 3, 4, 5, 7, 10, 12 and 13).

The PTA failed to conduct a pain assessment for 1 of 1 home visit observation with a PTA (Patient #10), and the SN failed to measure wounds for 1 of 1 discharged wound patient with RN 1 (Patient #16).

The home health agency failed to ensure all visit note documentation was completed within 14 days for 3 of 7 active patient records reviewed with wounds (Patient #2, 5 and 7) and 4 of 5 discharged records reviewed (Patient's #3, 4, 14 and 15).

The home health agency failed to ensure the RN supervised the LPN every 30 days on-site for 1 of 1 active clinical record reviewed of patients receiving skilled wound care services with an LPN (Patient #9).

The home health agency failed to ensure the HHA was qualified to provide home health services for 1 of 2 HHA personnel files reviewed who have been employed more than one year (HHA 2).

The home health agency failed to ensure the HHA obtained the appropriate HHA training for 1 of 1 unlicensed HHA who was hired in the past year (HHA 2).

The home health agency failed to ensure the RN supervised the HHA every 14 days for 1 of 1 active clinical record reviewed of patients receiving skilled wound care services and HHA services (Patient #9).

The home health agency failed to ensure the RN completed an on-site HHA supervisory visit every 14 days for 2 of 2 active clinical record reviewed of patients receiving HHA services (Patient #9 and 12).

The agency failed to ensure the patient address was in the medical record for 1 of 1 home visit observations scheduled on 06/13/2025 with RN 2 (Patient #5).

The home health agency failed to submit the discharge summary to the physician within 5 days of discharge for 5 of 5 discharged records reviewed (Patient #3, 4, 14, 15 and 16).

The agency failed to ensure home health aide (HHA) visits had been conducted as ordered for 2 of 7 clinical records reviewed (# 4, and 5).

The agency failed to ensure all staff followed infection control policies and procedures for 2 of 3 home visits (#2 and #3).

The agency failed to ensure all medications were identified and included in the plan of care in 1 of 7 records reviewed (#2).

The agency failed to ensure home health aide (HHA) missed visits had been reported to the physician for 2 of 7 clinical records reviewed (# 4, and 5).

The agency failed to ensure home health aide (HHA) supervisory visits had been conducted every 14 days for 2 of 2 clinical records reviewed of patients receiving HHA services with a skilled service (# 4 and 5).