Parallel Home Care Services, Inc

The agency failed to ensure that 2 of 7 (P-1, 2) patients were included in their overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided and disciplines that will furnish care, resulting in a lack of inclusion in planning, lack…

The agency failed to ensure the plan of care included measurable outcomes and goals specific to the needs of the patient for 7 of 7 records reviewed (P-1, 2, 3, 4, 5, 6, 7), resulting in patients not receiving care specific to their individual needs and the potential for poor patient outcomes.

The agency failed to ensure the skilled professionals provided services as ordered by the physician in the plan of care for 1 (P-5) of 7 records reviewed, resulting in the potential for physical decline and unmet care needs for this patient.

The Agency failed to ensure a discharge summary was complete, provided the patient's current health status at the time of discharge in 1 (P-1) of 2 closed records, from a total of 7 records reviewed, resulting in the potential for unidentified continuing health care concerns and unmet care needs.

The agency failed to contact the physician in 1 of 6 records reviewed (P-5) for falls, from a total of 10 records reviewed, resulting in the potential for unresolved healthcare concerns.

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated to include strategies to address the Covid-19 global pandemic, resulting in no directions for Agency personnel in the event of an actual emergency or disaster.

The agency failed to provide documented evidence that patients received and understood the written notice of patient's rights, responsibilities, and the agency's transfer and discharge policies in advance of furnishing care for 4 (MR#s 1, 2, 4, 5) of 7 sampled records reviewed, resulting in lack of…

The agency failed to incorporate pertinent baseline information from the referral in 1 (MR #3) of 7 records reviewed, resulting in a poor patient outcome, and failed to ensure the comprehensive assessment included baseline information detailing the patient's current health at the time of admission…

The agency failed to ensure the plan of care included objectively measurable and individualized goals in 3 of 7 records reviewed (MR#'s 1, 2, and 3) with skilled nursing ordered out of a total of 7 records reviewed, resulting in a potential for failure to measure progress toward achievement of…

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program, (See G 642); the agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, (See G 644); failed to document the quality…

The agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the agency's Quality Assessment Performance Improvement program (See G 684); and failed to provide infection control…

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated to include strategies to address the Covid-19 global pandemic, resulting in no directions for Agency personnel in the event of an actual emergency or disaster.

The Agency failed to develop an Emergency Preparedness Plan that was based on a community and facility-based risk assessment from an all hazards approach and failed to include strategies in its plan for the identified risks, including the Covid-19 virus, resulting in the potential for staff to be…

The agency failed to develop and establish written Emergency Preparedness policies and procedures that were based on the Emergency Preparedness plan, risk assessment and communication plan that had been updated to include strategies for the global Covid-19 pandemic, resulting in the agency's…

The Agency failed to ensure all staff, including contract personnel, received initial and bi-annual training in the agency's Emergency Preparedness program, including training on the Covid-19 pandemic, resulting in staff being ill-prepared in the event of an actual disaster or emergency.

The agency failed to provide documentation for the required table top exercise, community based full-scale exercise or any documentation of an actual event that would qualify as a test of the emergency plan, resulting in staff is not being properly prepared for an actual emergency.

The agency failed to ensure the plan of care included objectively measurable and individualized goals in 3 of 7 records reviewed (MR#s 1, 2, and 3) with skilled nursing ordered out of a total of 7 records reviewed, resulting in a potential for failure to measure progress toward achievement of…

The agency failed to develop, implement, and maintain a quality assessment and performance improvement program which had the potential to negatively affect all 154 patients that were admitted during the past 12 months, resulting in a potential for poor patient outcomes due to the provision of…

The agency failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment and performance improvement program, which had the potential to negatively affect all 154 patients serviced by the…

The Agency failed to develop a Quality Assessment Performance Improvement program that documented the annual quality improvement projects, the reasons for conducting these projects with measurable progress achieved on these projects for 2020 and 2021 to date, resulting in the agency's inability to…

The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that addressed priorities for improved quality of care and patient safety and was evaluated for effectiveness, resulting in the potential to adversely affect…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control of infectious and communicable diseases including Covid-19 as an integral part of the agency's quality assessment and performance improvement program, and failed to develop a…

The Agency failed to provide evidence that Covid-19 infection control education was provided to any staff employed by the agency, resulting in the potential for the development and spread of the Covid-19 infection to staff and all 43 patients currently serviced by this agency.

The agency failed to provide documented evidence that patients received and understood the written notice of patient's rights, responsibilities, and the agency's transfer and discharge policies in advance of furnishing care for 4 (MR#s 1, 2, 4, 5) of 7 sampled records reviewed, resulting in lack of…

The Agency failed to provide documented evidence that the patient or their family/representative was informed of their rights and failed to provide evidence that the patient's family/representative's signature had been obtained confirming receipt of the patient rights in 2 (MR#'s 4, 5) of 7 sampled…

The agency failed to ensure that 2 (MR's #4 and 5) of 7 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided and disciplines that will furnish care, resulting in a lack of…

The agency failed to provide documented evidence that the patient/caregiver were informed orally and in writing, before care was initiated, of the extent to which payment for home health agency services may be expected from Medicare or other funding sources, and the extent to which payment may be…

The agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (MR# 6) of 2 discharged records, resulting in the patient being denied the right to appeal the decision to end covered services…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 7 of 7 (MR's #1, 2, 3, 4, 5, 6, and 7) records reviewed, resulting in incomplete clinical information and a poor outcome towards determining the needs of these patients and for…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 3 (MR's # 4, 6, 7)…

The agency failed to ensure the plan of care included all pertinent interventions for 4 (MR's #3, 4, 5, 6) of 7 records reviewed, resulting in the patient not receiving care based on specific individual needs and a poor patient outcome.

The agency failed to ensure services were provided only as ordered by the physician in 1 of 7 (MR #1) records reviewed, resulting in the potential to negatively affect all 43 patients currently serviced by the agency.

The agency failed to ensure the clinical record was complete, including assessments, notes and evaluations, for 1 (MR #4) of 1 record with incomplete documentation, from a total of 7 records reviewed, resulting in an incomplete record, an incomplete depiction of the patient's health status, and the…

The agency failed to ensure a discharge summary was complete, provided the patient's health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 1 (MR #6) of 2 closed records; and failed to ensure a transfer summary was sent to the…