Prospect Chartercare Home Health and Hospice, LLC

The agency failed to accept patients for treatment on the reasonable expectation that the agency can meet the patient’s nursing needs in his or her place of residence and furnish services in accordance with accepted standards of practice for 1 of 1 client reviewed related to staffing not being…

The agency failed to include all professional services as required, relative to Medical Social Work services as specified in §409.45 of this chapter.

The agency failed to develop and maintain an emergency preparedness plan that must be reviewed and updated at least every 2 years.

The facility failed to ensure individualized emergency plans for each client, are included as part of the comprehensive assessment, and a copy of the individualized emergency plan is in the clients file for 13 of 13 records reviewed, Client ID #s 1,2,3,4,5,6,7,8,9,10,11,12 and 13 as well as a copy…

The facility failed to establish and maintain a training program that includes initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and consistent with their expected roles.

The home health agency failed to conduct exercises to test the emergency plan annually, participate in a full-scale exercise that is community-based or conduct a facility-based functional exercise.

The agency failed to ensure that services are written in an individual plan of care which is established, reviewed, and signed by a doctor for 2 of 13 clients reviewed, Client ID #s 1 and 3, Findings are as follows: 1) Record review for Client ID #1 revealed a start of care dated 2/27/2024 and an…

The agency failed to maintain a coordinated agency-wide program for the surveillance, investigation, identification, prevention, and control of infectious and communicable diseases as an integral part of the QAPI program.

The agency failed to ensure the patient's clinical record identified all medications that the patient is taking (both prescription and non-prescription) as well as the time of medication administration and route for 5 of 6 clients who received a surveyor home visit, ID#'s 3, 4, 6, 7 and 8. Findings…

The agency failed to ensure that Drugs, services, and treatments are administered only as ordered by a physician for 5 of 6 clients who were observed during home visits, Client's ID #'s 3, 4, 6, 7 and 8. Findings are as follows: 1. Review of the record for Client ID #3, revealed a start of care…

The agency failed to conform with the physician orders for home health aide services, occupational therapy, physical therapy, and skilled nursing services for 6 of 13 client records reviewed, Client ID #s 3, 6, 8, 9, 10 and 12. Findings are as follows: 1) Record review for Client ID #3 revealed a…

The agency failed to assure client needs are continually assessed for 1 of 6 clients who received surveyor home visits, Client ID # 4. Findings are as follows: Review of the record for Client ID # 4, reveals a start of care date of 7/22/2021, with a primary diagnosis of Multiple Sclerosis.

The Home Health Agency failed to ensure that the clinical record was complete and accurate for 1 of 1 sample clients who have pressure wounds requiring treatments, Client ID #2. Findings are as follows: Review of the facility policy titled “Wound Care” revealed in part, “Wound measurements will be…

The agency failed to complete a comprehensive assessment which includes a review of all medications, including over-the-counter medications (OTC), which the patient is currently taking for 1 of 20 sample patients (ID #15).

The HHA failed to ensure compliance with the accepted professional standards and principles that the HHA and its staff must comply with, include, but are not limited to, the HHA Federal regulations, State practice acts, commonly accepted health standards established by national organizations…