Rebekah Certified Home Health Agency
Inspection 2025-01-17
· Recertification · 14 deficiencies · CMS source report (PDF)The agency failed to ensure the encoded OASIS (The Outcome and Assessment Information Set) assessments accurately reflect each patient's status at the time of the assessment.
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The agency failed to ensure that all patients receive services as documented in their individualized plan of care.
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The agency failed to ensure that all healthcare personnel follow standard infection control precautions.
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The agency failed to ensure all Home Health Aides receive a complete paraprofessional plan of care.
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The agency failed to provide the patient with contact information for other agencies or providers who may be able to provide care.
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The agency failed to ensure all assessments were conducted within the required time frames for all patients.
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The agency failed to ensure that the assessment is accurate.
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The agency failed to ensure that all medications were reviewed and accurately documented in the patient's plan of care.
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The agency failed to ensure each patient's individualized plan of care include all the required information.
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The agency failed to ensure that treatments are provided as ordered by a physician.
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The agency failed to ensure the physician are promptly alerted to any changes in the patient's condition or needs.
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The agency failed to provide pertinent instruction related to the patient's care.
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The agency failed to provide services that are ordered by the physician as indicated in the plan of care.
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The agency failed to ensure that all Home Health Aides receive onsite supervision every 14 days.
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Inspection 2022-02-11
· Recertification · 8 deficiencies · CMS source report (PDF)The agency failed to ensure the plan of care is reviewed and revised.
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The agency failed to ensure the Register Nurse conducts the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patient.
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The agency failed to ensure an accurate review of all the medications the patient is using.
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The agency failed to ensure that the comprehensive assessments were updated within the last five (5) days of the sixty day (60) Certification Period ).
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The agency failed to ensure the comprehensive Plan of Care is develop and addresses all patient care needs.
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The agency failed to ensure treatments are administered only as ordered by the physician.
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Staff interview the agency failed to provide services that are ordered by the physician as indicated in the plan of care.
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The agency failed to ensure that all home health aides (hha) providing services to patients receiving skilled services are supervised no less frequently than every two weeks.
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Inspection 2019-03-15
· Recertification · 18 deficiencies · CMS source report (PDF)The agency failed to ensure all encoded Oasis assessments accurately reflect each patient's status at the time of the assessment.
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The agency failed to ensure that all patient received the care that is written in the individualized Plan of Care.
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The agency failed to ensure all home health aides (hha) are provided with written patient care instructions for each patient receiving hha services.
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Grievance procedure review and interviews the agency failed to ensure all the Administrator's contact information was included in order to receive complaints.
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The agency failed to ensure the Bill of Rights included all the information for the right to be free from abuse.
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The agency failed to ensure the time frames for reviewing and the resolution of complaints were made available.
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The agency failed to ensure all patients were notified of the services, frequency of services and the potential liability of each service before care is started.
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The agency failed to ensure all patients are informed in writing of services, frequency of services and potential financial liability for each service provided before care is initiated.
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The Admission Packet and interviews the agency failed to ensure all patients were informed of the right to have access auxiliary aids and language services to help them understand information provided and how to access these services.
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The agency failed to ensure that all patients medications were accurately documented in each patient's Plan of Care.
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The agency failed to ensure a Discharge OASIS (Outcome Assessment) was completed for all discharged patients.
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The agency failed to ensure that a complete and accurate Plan Of Care was developed for all patients.
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The agency failed to ensure all treatments administered are administered as ordered by a physician.
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The agency failed to ensure all orders documented in the clinical record include a signature, date and time of the orders.
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The agency failed to ensure ongoing communication is maintained with each patient's physician . This was evident for one (1) of seventeen (17) clinical records reviewed (Patient #4) Failure to ensure ongoing communication is maintained with each patient's physician has the potential for negative…
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The agency failed to ensure the Licensed Practical Nurses (LPN) were adequately supervised by the Registered Nurses and followed the guidelines of the Office of Professions Scope of Practice for the LPN and RN.
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The agency failed to ensure that all home health aides (hha) providing services to patients receiving skilled services are supervised no less frequently than every two weeks This was evident for two (2) of (5) clinical records reviewed with aide services.
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The agency failed to ensure discharge summaries are completed for discharged patients and the complotted summary is sent to the primary care practitioner.
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