Pelacho Home Health, Inc
Inspection 2025-03-07
· Recertification · 5 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to ensure Advanced Directives were entered into the Electronic Medical Record (EMR) for two of 13 patients (Patient (P ) P2 and P9) reviewed in the sample.
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The Home Health Agency (HHA) failed to ensure comprehensive discharge information/instructions were provided for one of 13 patients (Patient (P ) P12) reviewed in the sample.
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The Home Health Agency (HHA) failed to ensure that at least one Performance Improvement Project (PIP) was in place and ongoing via the agency's Quality Assessment and Performance Improvement (QAPI) program.
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The Home Health Agency (HHA) failed to ensure medication orders were accurately documented in the record for three of five sampled patients (Patient (P) 1, P2 and P4) whose medications were observed in their home.
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The Home Health Agency (HHA) failed to ensure physician's orders were routinely followed for one of 13 patients (Patient (P ) P12) reviewed in the sample.
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