Primrose Home Care, Inc.

The agency failed to provide care planning, coordination of services, and quality of care as required.

The agency failed to maintain a home health-wide data-driven quality assessment and performance improvement (QAPI) program.

The agency failed to maintain and document an infection control program which has as its goal the prevention and control of infections and communicable diseases.

The agency failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care to achieve the goals and outcomes identified in the patient’s plan of care, for each patient’s medical, nursing, and…

The agency did not participate in a full-scale exercise that was community-based.

Based on interview and record review all comprehensive assessments did not accurately reflect the patients’ status.

The agency did not maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the agency’s quality assessment and performance improvement (QAPI) program.

The agency did not ensure skilled professional services were delivered according to the agency’s policies and procedures.

The agency did not ensure that one or more qualified individuals provided oversight of all patient care services and personnel.

The comprehensive assessment was not completed within 5 days from the start of care date for 1 of 7 sampled patients.

For 6 of 7 sampled records, that the individualized plan of care did not include the frequency and duration of the visits to be made.

The agency did not ensure all treatments were administered only as ordered by the physician.

The agency did not coordinate delivery of care to meet the patient's needs.

The agency did not ensure it hired qualified personnel.

The home health agency (HHA) did not ensure individual emergency plans (IEP) were developed for the HHA's patients during a natural or man-made disaster or emergency.

Home health agency (HHA) did not ensure the agency provided infection control education to patients and caregivers.

The home health agency did not ensure the governing body assumed full legal authority and responsibility for the agency's overall management and operation.

The home health agency (HHA) did not provided patients with a written copy of the HHA's transfer and discharge policies for 7 of 7 sample patients.

The home health agency (HHA) did not ensure that patients received all services outlined in their plan of care (POC).

For 6 of 7 sample records, that the individualized plan of care did not include the frequency and duration of the visits to be made.

The home health agency did not ensure pneumococcal vaccines were administered per agency policy developed in consultation with a physician.

For 5 of 7 current employees, that the home health agency did not employee qualified personnel.