Patience Home Health Care LLC

The agency failed to ensure a community based All Hazards Risk Assessment that identified the date of assessment development, implementation and review for all patients and employees.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated staff contact information for the agency for all patients and staff.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for calendar years 2021, 2022 and 01/01/23 to 10/24/23 for all patients and employees.

The agency failed to ensure its infection control program included surveillance monitoring and reporting and was included in QAPI program activities for all patients and staff.

The agency failed to ensure patient forms for consent and acknowledgement of Patient Rights, billing, complaint and grievance processes were obtained and maintained in the patients clinical record for two (Patients #2 and 6 ) of seven patients reviewed.

The agency failed to ensure physician notification of physical therapy evaluation results for one (Patient #3) of seven patients.

The agency failed to ensure services were provided as ordered on the POC for: 1. SN to conduct visit frequencies as ordered by the physicians for one (Patient #2) of seven patient; 2. OT evaluations were conducted for one (Patient #3) of seven patients; 3. SN to perform Libre continuous glucose…

The agency failed to ensure documentation of nursing interventions performed by the SN for one (Patient #4) of seven patients.

The agency failed to ensure a completed transfer/discharge summary was provided for three (Patients #3, 6 and #7) of seven patients.

The agency failed to ensure development of a patient centered QAPI Program for all patients and employees.

The agency failed to complete annual and initial emergency preparedness training for five of five employees (Staff V, W, X, Y and Z).

The agency failed to ensure emergency drills were completed for all employees and 42 current patients.

The agency failed to ensure development of a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 42 patients and all employees.

The agency failed to ensure an ongoing, comprehensive QAPI program was approved by the governing body.

The agency failed to ensure CHHA completion of 12 hours of annual training for one (CHHA #1) of one CHHA.

The agency failed to ensure patient wound care teaching was provided to a able and willing caregiver prior to discharge for one (Pt #3) of seven patients.