Patient Care Professionals Inc

The home health provider failed to ensure emergency preparedness (EP) training was completed on hire and every two years in three of three personnel records reviewed (Employees #1, #2, and #3).

The home health provider failed to ensure that the OASIS assessment was completed by a registered nurse (RN) in one of five records reviewed (Record/Patient #5).

The home health provider failed to ensure that a registered nurse (RN) completed an initial assessment on the patient in one of five full records reviewed (Record/Patient #5).

The home health provider failed to ensure nursing services were provided under the supervision of a registered nurse (RN) in one of five full records reviewed (Record/Patient #5).

The agency failed to ensure staff followed acceptable standards of practice for infection control in one (Record/Patient #2) of three home visit observations; and failed to continue implementing their program to protect visitors and staff who entered the home health agency office, from those…

The agency failed to ensure staff were provided infection control training annually for one (Employee #4/RN A) of four employee files reviewed.

The agency failed to ensure plan of care orders were authenticated with physician signature and date in one (Record/Patient #2) of five full records reviewed.

The agency failed to provide the patient and representative (if any) correct contact information for the current home health agency administrator, to receive complaints in, but not limited to, three (Records/Patients #1, #2, and #3) of three home visits conducted.

The agency failed to ensure the patient's current health status was assessed and documented in two (Patients/Records #2 and #3) of five records reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure the individualized plan of care included all of the required elements in, but not limited to, two (Records/Patients #1 and #2) of five full records reviewed.

The agency failed to obtain physician orders to ensure services were administered, as only ordered by a physician in, but not limited to, one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure the skilled professional assumed responsibility for an ongoing interdisciplinary assessment of the patient, in one (Record/Patient #3) out of five records reviewed.

The agency failed to ensure staff were provided with annual agency in-service training in one (Employee #4/RN A) of four employee files reviewed.

The agency failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire on one (Employee #2) of four employee files reviewed, and failed to ensure all staff had the Family Care Safety Registry (FCSR) checked prior to date of first patient contact in one (Employee…

The agency failed to ensure a complete transfer and discharge summary (containing relevant information) was sent to the patient's receiving health care facility within two business days of the agency becoming aware of the patient's transfer, for one (Record/Patient #5); and five business days of he…

The agency failed to develop an emergency preparedness plan that included a communication plan with contact information for federal, state, and local emergency preparedness staff.

The agency failed to develop a plan for sharing patient information to other health care facilities for continuum of care if evacuation was necessary in the event of an emergency.

The agency failed to develop an emergency preparedness plan training program that included initial training in emergency preparedness policies and procedures to all new and existing staff, maintained documentation of all emergency preparedness training, and demonstrated staff knowledge of emergency…

The agency failed to document and analyze actual emergency events which replaced the required community based or tabletop exercise and did not conduct two additional emergency preparedness drills annually.

The agency failed to provide evidence that quality indicators were measured, analyzed, and tracked as part of an on-going quality assessment and performance improvement (QAPI) program.

The agency failed to provide evidence that collection of quality data was on-going during 2018-2020 to: -Monitor the effectiveness and safety of the services and quality of care; -Identify opportunities for improvement; and -Included OASIS outcome measures and other relevant agency data.

But failed to provide evidence to show that the agency analyzed their causes, and implemented preventive actions.

The agency failed to provide documentation of at least one performance improvement projects undertaken during 2019, the reason for conducting the project and measurable progress achieved.

The agency failed to provide documented evidence that the governing body was responsible for ensuring an ongoing program for quality improvement and patient safety during 2019. This deficient practice has the potential to affect the quality of care and safety of all agency patients.

The agency failed to follow accepted standards of practice for one (Record/Patient #1) of three patients observed during home visits.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include, the written notice to the patient about their right to have copy of the patient's rights and responsibilities provided to a…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) has the right to participate in, be informed about, and consent or refuse, with respect to…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient has the right to be advised of financial liability changes as soon as possible, in advance of the next home health…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) has the right to be advised of the names, addresses, and telephone numbers of federal and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem if the patient is considered for a discharge for cause.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the…

The agency failed to complete the initial assessment of the patient within 48 hours of the referral to home care, or 48 hours after the patient's return home, or on the physician ordered start of care date in one (Patient/Record #5) of five records reviewed.

The agency failed to ensure the patient's current health status was assessed and documented in two (Patients/Records #1 and #3) of five records reviewed.

The agency failed to ensure an accurate medication reconciliation was completed in, but not limited to, two (Records/Patients #1 and #5) of five records reviewed.

The agency failed to ensure the patient had a complete and accurate plan of care in, but not limited to, two (Patients/Records #1 and #5) of five records reviewed.

The agency failed to ensure each patient received written information related to the visit schedule/instructions, in three (Records/Patients #1, #2 and #3) of three home visits conducted.

The agency failed to ensure each patient received updated/current written instructions related to the patient's medication schedule in, but not limited to, one (Record/Patient #1) of three home visit observations.

The agency failed to provide skilled nursing services as ordered by the physician on the plan of care (POC) in two (Records/Patients #1 and #5) of five records reviewed.

The agency failed to ensure that the skilled nurse effectively communicated with the patient's physician regarding changes in the patient's wound in, but not limited to, one (Record/Patient #1) of five records reviewed.

The agency failed to ensure staff obtained a copy of a Durable Power of Attorney (DPOA, enables a trusted person to handle a person's affairs if they become mentally incapable) and/or an Advanced Directive ( Living Will, a legal document in which a person specifies what actions should be taken for…

The agency failed to ensure a completed discharge summary was sent to the primary care physician or other professional who would be responsible for providing care and services to the patient after discharge from the agency/services within five business days of the patient's discharge in two…