Perfect Care Home Health Agency

The home health agency failed to have Emergency Plan documentation developed, updated and reviewed annually.

The home health agency failed to have documented a Plan Based on All Hazards Risk Assessment.

The provider failed to have documented annual Emergency Preparedness Training for 3 out of 9 Sampled Staff.

The home health agency is unable to demonstrate a completed termination/discharge summary including the reason for admission to home health care the type of service being provided, frequency of services, lab data (as applicable), care and out comes meeting goals and medication list for 2 out of 5…

The provider failed to ensure the clinical record included a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency (if any) within…

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff (3 out of 9 sample personnel record); and the provider failed to ensure that all staff participate in the emergency preparedness training at least…

The provider failed to demonstrate a tabletop exercise that included a group discussion led by a facilitator, using a narrated, clinically relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan and maintain…

The provider failed to demonstrate the patients were informed about in advance and during treatment with respect to the disciplines that will furnish care and the frequency of visits proposed to be furnished for 2 out of 10 Sampled Patients (SP).

The provider failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of the Home Health Agency only after that individual has successfully completed a competency evaluation program for 4 out of 4 personnel files reviewed.

The provider failed to make an annual on-site visit to the location where a patient is receiving care to observe and assess each aide while he or she is performing care for 2 out of 4 employee records reviewed.

The Home Health Agency failed to strategies for addressing emergency events that were identified by the risk assessment.

The Home Health Agency failed to develop and implement an emergency preparedness plan that contain policies and procedures, based on the emergency plan.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that describes the mechanism to inform State and local officials of any on-duty staff that they are unable to contact.

The Home Health Agency failed to: Provide emergency preparedness training at least annually; Maintain documentation of the training; and Demonstrate staff knowledge of emergency procedures for 3 out of 6 Staff reviewed.

The Home Health agency's Physical therapy Assistant (PTA) failed to implement the plan of care (POC) as ordered by the physician for 1 out of 10 sampled patients (SP).

The Home Health Agency failed to ensure that a Physical Therapist Assistant (PTA) followed accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 10 Sampled Patients(SP).

The Home Health Agency failed to ensure that all entries were legible and clear for 4 out of 10 Sample Patients (SP).

The Home Health Agency failed to provide to the patient and the patient's legal representative (if any) a completed service agreement during the initial evaluation visit, in advance of furnishing care to 2 out of 10 sampled patients, SP#1 and SP#2 Findings include: 1) During a home visit conducted…

One of the Home Health agency's Physical therapy Assistant (PTA) failed to provide services that are ordered by the physician as indicated in the Plan of Care (POC) as ordered by the physician to 1 out of 10 sampled patients (SP).

The Home Health Agency failed to provide advance notice of discharge in advance of the Home Health Agency reducing or terminating on-going care to 1 out of 10 Sampled Patients (SP).

One of the Home Health agency's Physical therapy Assistant (PTA) failed to provide treatments and therapy services that is consistent with the physician's order on the Plan of Care (POC) to 1 out of 10 sampled patients (SP).

The Home Health Agency failed to ensure a review of all medications the patients are currently using was conducted for 3 out of 10 Sampled Patients (SP).

The Home Health Agency failed: to ensure that the Plan of Care (POC) reflected accurately the medications that 3 Sampled Patients (SP) are actively taking: SP#1, SP#2 and SP#4; to include in the individualized a description of the patient's risk for emergency department visits and hospital…

The Home Health Agency failed to provide the visit schedule, including frequency of visits by the Home Health Agency personnel and personnel acting on behalf of the Home Health Agency to 2 out of 10 Sampled Patients (SP).

The Home Health agency's Physical therapy Assistant (PTA) failed to provide treatments and therapy services as ordered by the physician to 1 out of 10 sampled patients (SP).

The Home Health agency's Physical therapy Assistant (PTA) failed to provide services as contained in the plan of care to 1 out of 10 sampled patients (SP).

The Home Health Agency failed to develop goals in the patient's Plan of Care (POC) and the patients' progress toward achieving them for 1 or 10 Sampled Patients (SP).