Quality Home Care Professionals Inc

The agency failed to have a written policy and procedure for cooperation and collaboration with tribal, regional, State, and Federal emergency preparedness officials.

1. Patient #2 had a start of care date of 5/23/18. The Recertification Comprehensive Assessments, dated 11/14/18 and 1/16/19, lacked documentation of an individualized emergency/disaster plan assessment for the patient.

The agency failed to have a written policy and procedure for the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency's emergency preparedness communication plan failed to include contact information for local, regional, state, federal and tribal officials and other sources of assistance.

The agency failed to ensure all employed staff received training in the agency's emergency preparedness policies and procedures in 2018. The agency provided services to 85 patients at the time of the survey and employed 30 staff . Failure to ensure the agency provided training in emergency…

The agency failed to ensure staff provided care in accordance with accepted infection control standards of practice observed during a home visit for 1 of 2 sampled patients (Patient #2) with home visits.

The agency failed to: 1) Ensure a registered nurse or other appropriate skilled professionals in consultation with a registered nurse as appropriate performed direct observation of home health aide performance of all required basic home health aide skills on a home health patient to determine…

The agency failed to provide individualized and specific written patient care instructions by a registered nurse or other skilled professional to agency home health aides for 3 of 6 sampled patients receiving home health aide services (Patients #2, #6 and #8).

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the date and time of the employee signature for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7 and #8).

The agency failed to conduct and document the investigation of a complaint made by a patient related to missing items for 1 patient (Patient #7).

The agency failed to ensure the documentation of the resolution of a complaint made by a patient related to missing personal items for 1 patient (Patient #7).

The agency failed to ensure agency professional staff completing a drug regimen review included a review of all of the required components of a drug regimen review with the completion of each comprehensive assessment for 2 of 8 sampled patients (Patients #2 and #6).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including supplies and equipment used by the patient to meet his/her needs and an accurate list of the patient's current medications for 2 of 8 sampled patients (Patients #2 and #7).

The agency failed to provide services/treatments as ordered by the physician for 4 of 7 sampled patients (Patients #1, #2, #5 and #6).

The agency failed to promptly report changes in patient's condition to the physician in order to alter the Plan of Care for 1 of 8 sampled patients (Patient #2).

The agency failed to provide to the patients medication lists written in plain language that included medication name, dosage, frequency, administration times and which medications will be administered by agency personnel for 2 of 2 sampled patients with home visit observations (Patients #1 and #2).

The agency failed to ensure the supervision of home health aides by registered nurses maintained documentation of a review of all required supervisory elements including following the patient plan of care, communicating with patient and nursing staff, demonstrating competency of all assigned tasks…

The agency failed to ensure the clinical record contained complete and up to date information for 3 of 5 sampled patients (Patients #1, #5 and #6).

The agency failed to complete and send a discharge summary to the physician or other health care professionals responsible for providing care to the patient after discharge within 5 business days of the patient's discharge for 1 of 1 sampled patients requiring discharge after the change in…