Rc Home Healthcare Inc

The agency failed to ensure a Registered Nurse (RN) provided a correct written patient care instruction to a Certified Home Health Aide (CHHA) for one of seven sampled patients (Patient 2) when the CHHA’s care plan (a written plan that outlines the specific services and care an individual needs to…

The agency failed to ensure a review of all the medications the patients were taking was conducted for two of seven sampled patients (Patients 1 and 2) when: 1. For Patient 1: the Medication Profile (MP-a current list of all medications prescribed for a specific patient), indicated tetracyte (an…

The agency failed to ensure a Certified Home Health Aide (CHHA) provided all the services listed on the "Home Health Aide Care Plan [a written plan that outlines the specific services and care an individual needs to receive at home]," for one of seven sampled patients (Patient 2).

The agency failed to ensure the attending physicians were informed of patients’ discharged from the agency for two of seven sampled patients (Patients 6 and 7) when the discharge summary (a written document that details a patient's medical condition upon leaving a healthcare facility, summarizing…

The agency failed to develop a back-up communication plan with Federal, State, tribal, regional and local emergency management agencies in the event of communications (phone service, including cellular phone and Internet) failure during a disaster or emergency, in a universe of 37 patients.

The agency failed to provide training to contracted staff on the emergency preparedness policies and procedures and “Emergency Management Plan,” in a universe of 37 patients.

The agency failed to evaluate their Emergency Preparedness Plan, after activation for the COVID 19 (coronavirus disease-an infectious disease caused by the SARS-CoV-2 virus) pandemic, in a universe of 37 patients.

The agency failed to use quality indicator (a measurable element of the agency’s practice that can be used to assess the quality of care provided) data from OASIS (Outcome and Assessment Information Set) to monitor the quality of the agency’s services.

The agency’s Governing Body (GB) failed to ensure its Quality Assessment and Performance Improvement (QAPI) Program was evaluated for effectiveness, in a universe of 37 patients.

The agency failed to develop a policy for staff to qualify for a temporary delay of a COVID‐19 vaccination and failed to develop actions the facility would take for staff that refused a COVID‐19 vaccination and did not qualify for an exemption, in a universe of 37 patients.

The agency failed to ensure that the Condition of Participation: E 001 484.22 Establishment of the Emergency Program (EP) was in compliance as follows: 1. Based on interview and record review, the agency used a community based risk assessment developed by another entity to create the agency's all…

The agency failed to ensure that the Condition of Participation: G 570 484.60: Care planning, coordination, quality of care was in compliance as follows: 1. Based on observation, interview, and record review, the agency failed to develop an individualized plan of care for one of seven sampled…

The agency failed to ensure that the Condition of Participation: G 640 484.65 Quality assessment and performance improvement (QAPI) was in compliance as follows: 1. Based on interview and record review, the agency failed to collect, measure, analyze and track quality indicator (a measureable…

The agency failed to ensure that the Condition of Participation: G 680 484.70: Infection prevention and control was in compliance as follows: 1. Based on observation, interview and record review, the agency failed to ensure its staff followed the agency's policy and procedure and professionally…

The agency failed to maintain a copy of the entity's community based risk assessment and did not collaborate with entity who had developed the risk assessment in a universe of 34 patients.

The agency failed to provide for the continuity of operations during an emergency when a succession of authority plan (a plan indicating who will take control in the absence or inability of another) was not in place in a universe of 34 patients.

The agency failed to collaborate with local, regional, State, and Federal emergency preparedness officials to cooperate in the planning efforts to maintain an integrated response during a disaster or emergency in a universe of 34 patients.

The agency failed to implement procedures to inform emergency preparedness officials about patients in need of evacuation and the needs the patients would require during the evacuation process, in a universe of 34 patients.

The agency failed to ensure a procedure was established to provide for emergency staffing during a disaster or emergency, in a universe of 34 patients.

The agency failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, tribal, regional, and local emergency preparedness staff, in a universe of 34 patients.

The agency failed to develop a back-up plan in the event of communications (phone service, including cellular phone and internet) failure during a disaster or emergency, in a universe of 34 patients.

The agency failed to provide training to all staff, as well as contracted staff, on the emergency preparedness policies and procedures and "Emergency Operations Plan," in a universe of 34 patients.

The agency failed to collect, measure, analyze and track quality indicator (a measureable element of the agency's practice that can be used to assess the quality of care provided) data in order to assess the agency's processes of care, services, and operations, in a universe of 34 patients.

The agency failed to choose a quality indicator (a measureable element of the agency's practice that can be used to assess the quality of care provided) from QASIS (Outcome and Assessment Information Set) data to monitor and the agency's governing body did not approve the frequency and detail of…

The agency failed to document performance improvement projects (PIP - a concentrated effort on a particular problem in one area of the agency or agency wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements) the agency had undertaken…

The agency failed to ensure a quality assurance and performance improvement (QAPI) program was implemented, maintained and evaluated for effectiveness, in a universe of 34 patients.

The agency failed to ensure its staff followed the agency's policy and procedure and professionally accepted infection control practices for one of seven sampled patients (Patient 5) when a Physical Therapy Aide (PTA) did not follow clean bag technique (a set of procedures to follow to prevent the…

The agency failed to effectively integrate the agency's infection control program into the agency's Quality Assessment and Performance Improvement (QAPI) program in a universe of 34 patients.

The agency failed to develop an individualized plan of care for one of seven sampled patients (Patient 4) that indicated specific oxygen saturation readings (amount of oxygen in the blood) to report to the physician (reporting parameters).

The agency failed to ensure services were provided as ordered by a physician for three of seven sampled patients (Patients 2, 4 and 5) when: 1. For Patient 2, skilled nursing (SN) visits were made without a physician's order.

The agency failed to ensure all services were integrated for one of seven sampled patients (Patient 5) when the contracted physical therapy care plan did not include an intervention to take a pulse oximetry reading (a procedure that measures the amount of oxygen in the blood) before and after…