Personalize Home Care Service

The agency failed to ensure its disciplines followed the visit frequency as ordered by the Physician and in the Plan of Care for 1 (P-2) of 7 sampled records reviewed, resulting in the patients not receiving care according to their identified needs, the potential for worsening of health condition…

The agency failed to ensure staff followed accepted standards of practice for infection control for 1 (P-6) of 3 patients with home visits, resulting in the potential for spread of infectious disease to all 52 patients currently receiving services from this agency.

The agency failed to provide documented evidence of infection control education for 3 of 7 sampled staff members including those employed through an arranged contract which has the potential to negatively impact on the safety and well-being of all 215 patients serviced by the agency in the past 12…

The agency failed to ensure its skilled discipline utilized professional standards of practice during the provision of care for 1 (P-1) of 1 patient observed during a Physical Therapy home visit, from a total of 7 sampled records reviewed, resulting in the potential for worsening of health…

The agency failed to ensure at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The agency failed to ensure all clinical record entries were appropriately authenticated and dated in 1 (P-7) of 7 records reviewed; and failed to ensure all clinical record entries were clear and complete in 1 (P-7) of 7 records reviewed, resulting in an incomplete clinical record.

The agency failed to ensure that 1 (P-1) of 3 patients observed during home visits, and 1 patient (P-4) of 7 patients receiving services from the agency were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be…

The agency failed to ensure the Registered Nurse conducted the Initial Comprehensive Assessment within 48 hours of the date of referral for 1 (P-1) of 1 record where start of care services was delayed, from a total of 7 sampled records reviewed, resulting in delay in needed care and services and…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient’s current health status leading to home care needs in 6 (P-2, P-3, P-4, P-5, P-6, and P-7) of 7 records reviewed, resulting in incomplete clinical information to aid in determining the…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects in 3 (P-1, P-3, and P-7) of 7 patient records reviewed; and failed to ensure the physician was notified of potential drug interactions in 2 (P-1, P-3) of 7 sampled records…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters and objectively measurable goals specific to the patient's needs for 5 (P-1, P-2, P-4, P-5, and P-7) of 7 sampled records reviewed, resulting in patients not receiving care specific to their…

The agency failed to ensure its skilled discipline promptly notified the Physician of 1 (P-1) of 1 patient who experienced elevated blood pressure readings, from a total of 7 sampled records reviewed, resulting in the potential for untreated health concerns and decline in health status.

The agency failed to provide services ordered by the physician as indicated in the plan of care in 1 (P-7) of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the clinical record was complete for 1 (P-3) of 7 records reviewed; and failed to ensure skilled professionals prepared clinical notes per agency policy in 2 (P-6 and P-7) of 7 records reviewed, resulting in undocumented health concerns and potential poor outcomes.

The Administrator failed to ensure the Clinical Manager was available at all times during operating hours, resulting in lack of clinical supervision and oversight and the potential for unmet care needs for all 52 patients currently serviced by this agency.

The agency failed to maintain a record of referral and acceptance of patients for services for 1 (P-3) of 7 records reviewed, resulting in unmet record maintenance and availability.

The agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 2 (P-1, P-2), of 2 records in which the patient was…