Professional Home Services, Inc.

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled patients (SP) with home visits made.

The provider failed to develop and maintain an emergency preparedness plan that is based on and include a documented, facility-based and community-based risk assessment, utilizing an all hazards approach and that include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement federal emergency preparedness policies and procedures based on all the risks which were identified on its risk assessment.

The Home Health Agency failed to conduct training in its emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected roles.

The provider failed to conduct exercises to ensure all its employees participated in a tabletop exercise or workshop that is led by a facilitator.

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 1 out of 3 Sampled Patients (SP).

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 2 out 10 Sampled Patient (SP).

The provider failed to develop complete policies and procedures on the Influenza and Pneumococcal vaccines with the consultation of a physician.

The provider failed to assure communication with the patient's physician involved in the plan of care for 1 out of 10 Sampled Patients (SP).

The home health agency failed to demonstrate the staff(s) prepare and record clinical notes for 1 out of 10 Sampled Patients (SP).

The provider failed to maintain the content of a clinical record that includes all interventions including services rendered by the home health agency staff for 2 out of 10 Sampled Patients (SP).

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 develop strategies for addressing emergency events identified by the facility-based and community-based risk assessments.

The provider failed to develop and implement emergency preparedness policies and procedures that must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to ensure that all new and existing staff received initial emergency preparedness training and provided emergency preparedness training at least annually.

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 ensure the care follows the written plan of care established by the physician on 1 out of 11 Sampled Patients (SP).

The provider failed to ensure that a review of all medications the patient is taking in 2 out of 4 Sampled Patients (SP) with home visits.

The provider failed to include in the individualized plan of care the following: information related to any advanced directives on 11 out of 11 Sampled Patients (SP).

The provider failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 11 Sampled Patients (SP).

The Registered Nurse failed to prepare and record clinical notes for 1 out of 11 Sampled Patients (SP).

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 3 out of 11 Sampled Patients (SP).

The Home Health Agency failed to ensure that a registered nurse or other appropriate skilled professional make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care on 1 out of 5 Staff.

The provider failed to document in the home health aide supervision the following elements: complying with infection prevention and control policies and procedures in 3 out of 11 Sampled Patients (SP).