Pavilion Medical Home Care & Staffing, LLC

The agency failed to conform with physician orders.

The agency staff failed to follow infection control guidelines when performing wound care for one (1) of one (1) wound care observed during home visits (the patient with clinical record #9).

The agency failed to ensure at least one qualifying skilled service was provided directly through agency employees.

Agency staff failed to ensure each patient participated in and was informed of the care in advance of treatment being furnished to include the visit frequency of all disciplines for three (3) of seventeen (17) clinical records reviewed in the survey sample (clinical records #1, 2, and 3).

The agency failed to ensure patients received all the services ordered in the plan of care for two (2) of seventeen (17) clinical records in the survey sample (clinical records #10 and 16).

The agency failed to ensure each patient was advised in advance of providing care the extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, the charges for services that may not…

The agency failed to ensure each patient received proper written notice, in advance of a specific service being furnished, if the HHA believed that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care.

The agency failed to ensure all services and treatments were administered only as ordered by a physician in two (2) of seventeen (17) clinical records reviewed in the survey sample (clinical records #8 and 14).

The agency staff failed to ensure home health services were provided according to the patient's individualized plan of care for four (4) of 17 clinical records reviewed in the survey sample (Clinical Records: #4, #5, #10 and #15).

The agency failed to provide a Home Health Change of Care Notice (HHCCN) to Medicare patients in advance of reducing/discontinuing services for three (3) of four (4) clinical records in the survey sample for which a HHCCN was applicable (Clinical Records: #3, #5, and #8).

The agency failed to ensure the patient's individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admissions.

The agency failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for four (4) of four (4) closed clinical records reviewed in the survey sample admitted or recertified on or after 01/13/2018…