Renewcare Home Health

The agency failed to include safety precautions on the aide's care plan, in 1 of 3 records in which Home Health Aide (HHa) services were provided (P-5) resulting in the potential for the provision of unsafe care and negative patient outcomes.

The agency failed to ensure the patient’s right to give consent for or refuse Speech Language Pathology services in advance of treatment in 1 (P-7) of 10 records reviewed resulting in lack of a Speech Therapy assessment and potentially resulting in unmet care needs for this patient.

The agency failed to ensure the registered nurse conducted the initial assessment for immediate care and support needs within 48 hours of referral in 1 (P-6) of 10 records reviewed, and failed to ensure the registered nurse completed the initial assessment when both nursing and therapy services…

The agency failed to conduct a patient-specific, start of care (SOC) comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included baseline patient information in 5 (P-1, P-3, P-4, P-8, and P-9) of 10 records reviewed, resulting…

The agency failed to ensure the comprehensive assessment identified patient goals and home health interventions needed to result in measurable outcomes in 1 (P-9) of 10 records reviewed potentially resulting in failure to measure changes in health status and identify ongoing patient progress or…

The agency failed to ensure the comprehensive assessment included a review of the patients medications to identify any potential drug interactions and duplicate therapies in 2 (P-6, and P-10) of 10 records reviewed, and failed to ensure follow-up with the physician for medication reconciliation…

The agency failed to ensure the plan of care (POC) included safety precautions and parameters in 2 of 7 records (P-3, 5) reviewed, resulting in the potential for poor patient outcomes.

The agency failed to ensure physical therapy (PT) and occupational therapy (OT) services were provided as ordered by the physician in the plan of care for 1 of 2 (P-4) records reviewed with PT and OT services ordered, from a total of 10 records reviewed, resulting in the potential for physical…

The agency failed to ensure the home health aide followed accepted standards of practice in infection control for 1 of 1 (MR# 1) patients in which home health aide services were observed, from a total of 5 home visits, resulting in the potential for the development and spread of infection.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 7…

The Agency failed to ensure the comprehensive assessment included a review of all medications prescribed to the patient and include those medications in the medication reconciliation in its entirety for possible adverse effects or drug interactions in 2 (MR# 3 and 13) of 13 sample records reviewed…

The agency failed to include individualized and objectively measurable goals in the plan of care for 10 (MR#s 1, 3, 5, 7, 8, 9, 10, 11, 12, and 13) of 13 records reviewed resulting in the inability to determine the patient's progress towards goals.

The agency failed to document the reason for Transfer from the Home Health Care Agency to the Hospital in 2 of 2 records reviewed (MR#s 7 and 8) in which the Patient was transferred to the Hospital.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to ensure the registered nurse prepared written patient care instructions for the home health aide, that included specific safety precautions for 4 of 4 patients (MR#s 1, 4, 5 and 9) in which aide services were provided out of a total of 13 sampled records, resulting in the…

The agency failed to provide a copy of the signed written consent form to patients in 2 of 5 records reviewed in which a joint survey home visit occurred (MR#s 1 and 3) from a total of 13 sampled records reviewed.

The agency failed to inform the patient of proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the HHA reducing or terminating on-going care in 1 of 4 sampled discharged records reviewed (MR#s 5), from a total of 13 records reviewed, resulting in the patient not having a…

The agency failed to ensure the registered nurse conducted a thorough review of the patient's medications during the comprehensive assessment for accuracy of dosages and drug duplication for 1 of 5 home visits (MR#12) made.

The agency failed to document on the comprehensive assessment the primary caregivers' willingness, ability, their availability and scheduled hours and days to provide care for patients in 12 (MR#s 1, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12 and 13) from a total of 13 sampled records reviewed, resulting in a…

The agency failed to ensure the plan of care (POC) was patient specific and individualized to the patient's identified needs, covered all pertinent interventions, safety measures, supplies, functional limitations, and objectively measurable goals to determine the patient's progress towards goals in…

The agency failed to ensure treatments were provided in accordance with a physician's order in 1 of 6 records reviewed (MR #9) in which Master of Social Work services provided care, from a total of 13 records reviewed, resulting in the potential for the patient to receive inappropriate treatments.

The Agency failed to ensure that Physical Therapy (PT) communicated a lack of progression toward discharge goals with the physician in 1 of 11 records reviewed with PT services, from a total of 13 records reviewed (MR #13) resulting in the potential for unidentified, untreated health concerns and…

The agency failed to ensure the transfer summary was complete, provided the patient's current health status at the time of transfer, and progress toward goals in 1 of 2 patients (MR #8) who were transferred to an inpatient facility from a total of 13 records reviewed, resulting in the potential for…