Revolutionary Home Health Inc

Findings: This condition is not met as evidenced under the following standards/elements but did not result in Immediate Jeopardy: §484.60(a)(2) The individualized plan of care must include the following (G574-Element): The agency failed to ensure the clinical record included orders for therapy…

The agency failed to ensure electronic physician order approval authentication had been completed in accordance with agency policy/procedures for two (2) of four (4) patients for whom orders for missed visits had been obtained.

The agency failed to ensure the clinical record included orders for therapy interventions for one (1) of four (4) active patients for whom therapy frequency orders were included on the "Home Health Certification and Plan of Care".

The agency failed to ensure licensed clinical personnel obtained physician orders for missed home health aide (HHA) visits for one (1) of two (2) patients for whom orders for home health aide (HHA) services were included on the plan of care.

The agency failed to ensure the updated plan of care included orders for services which were recommended by the assessing clinician during the comprehensive assessment for one (1) of two (2) patients who were recertified for care.

The agency failed to ensure agency staff coordinated patient care with the supervising clinician and patient for four (4) of four (4) patients for whom missed visit or discipline frequency change orders had been obtained . (Patient #1, #2, #4 and #5) Findings include: On February 12, 2026 at…

The agency failed to ensure documentation was maintained in the clinical record which provided evidence an onsite supervisory visit had been conducted every 14 days by a registered nurse (RN) or other skilled professional familiar with the patient for two (2) of two (2) patients for whom orders for…

The agency failed to ensure home health services were provided in accordance with ordered visit frequencies for three (3) of three (3) patients.

The agency failed to ensure written notification was provided to one (1) of two (2) patients for whom a verbal order was obtained to reduce or terminate services.

The agency failed to ensure documentation was maintained in the clinical record which provided evidence the contact information for other agencies or providers, who may be able to provide care, had been provided to one (1) of one (1) patient who was discharged for cause due to non-compliance with…

The agency failed to ensure verbal orders were signed/authenticated in accordance with regulatory requirements (immediately) and agency policy (during or immediately after) for three (3) of three (3) patients for whom orders for missed visits were obtained by agency staff.

The agency failed to ensure the clinical record corrections were completed in accordance with agency policy/procedure or professional standards for three (3) of four (4) patients for whom a corrected "Service Note" was provided by the agency.. (Patient #1, #2 and #5) Findings: On November 7, 2025…

The agency failed to ensure the name of the administrator, in order to received complaints, had been provided to two (2) of two (2) patients for whom the start of care date was after September 29, 2025. (Patients #1 and #2) Findings include: On November 5, 2025 at approximately 3:10 PM, review of…

The agency failed to ensure one (1) of one (1) patient was notified that discharge for cause was being considered.

The agency failed to make efforts to resolve problems for one (1) of one (1) patient for whom discharge for cause was being considered.

The agency failed to involve one (1) of two (2) patients in the care coordination process for whom an order was received to reduce the skilled nursing (SN) visit frequency.

The CM/Alt Admin/CEO failed to ensure the adequate supplies were available to two (2) of five (5) active patients.

The agency failed to ensure the "Home Health Certification and Plan of Care" (POC) included skilled nursing (SN) interventions and goals (G572); the agency failed to ensure POC included physician orders for medication administration and associated laboratory studies and wound and tracheostomy care…

The agency failed to ensure the following: The agency failed to ensure patient assessment conducted by skilled nursing (SN) staff had been performed in accordance with physician orders, agency policies/procedures and/or professional standards (G706), the agency failed to ensure SN services were…

The Governing Body failed to ensure the following: The Governing Body failed to ensure agency documentation included clear lines of authority related to administrative and supervisory functions on agency documents (G942), the Chief Executive Officer (CEO)/Alternate Administrator failed to ensure…

The agency failed to ensure the "Home Health Certification and Plan of Care" (POC) included skilled nursing (SN) interventions and goals for one (1) of five (5) patients for whom orders for SN services were included on the initial POC.

The Governing Body failed to ensure agency documentation included clear lines of authority related to administrative and supervisory functions for three (3) of three (3) agency documents.

The agency failed to provide written notification of the charges which may be incurred for wound care supplies for one (1) of one (1) patient for whom agency documentation revealed the patient would be responsible for payment for wound care supplies.

The agency failed to ensure the "Home Health Certification and Plan of Care" (POC) included physician orders for medication administration and associated laboratory studies and wound and tracheostomy care for four (4) of four (4) patients for whom skilled nursing (SN) interventions were ordered on…

The agency failed to ensure interim verbal orders related to skilled nursing (SN) interventions had been incorporated into the clinical record for one (1) of one (1) patients for whom a comprehensive assessment was completed due to a change in patient condition.

The agency failed to ensure interim order changes were communicated to the primary care physician (PCP) for one (1) of one (1) patient for whom supplemental orders were provided by an infusion company.

The agency failed to ensure skilled nursing (SN) assessments were performed in accordance with physician orders, agency policies/procedures and/or professional standards for five (5) of five (5) patients.

The agency failed to ensure skilled nursing (SN) services were provided in accordance with the visit frequency orders included on the "Home Health Certification and Plan of Care" (POC) for two (2) of five (5) patients.

The agency failed to ensure documentation was maintained which provided evidence a registered nurse (RN) supervised the skilled nursing (SN) services provided by four (4) of four (4) licensed practical nurses (LPN).

The Chief Executive Officer (CEO)/Alternate Administrator (Employee #12) failed to ensure documentation was maintained in the personnel file which provided evidence competency or qualification (licensure) verification was completed in accordance with agency policies/procedures for two (2) of three…

The Chief Executive Officer/Alternate Administrator (Employee #12) failed to ensure two (2) of four (4) licensed practical nurses (LPN) completed a PA State Board of Nursing approved intravenous (IV) training program.

The agency failed to ensure a registered nurse (RN) completed an initial (start of care) assessment for one (1) of two (2) patients for whom a referral was received and accepted by the agency.

The agency failed to ensure an initial (start of care) assessment was conducted in accordance with agency policy/procedure for two (2) of two (2) patients for whom therapy services were ordered on the home health plan of care.

The agency failed to ensure documentation was maintained in the personnel file which provided evidence a licensed staff member obtained and documented verbal physician orders for two (2) of three (3) patients.

The agency failed to ensure a qualified practitioner provided plan of care/treatment orders for one (1) of four (4) patients.

The agency failed to ensure wound assessment was completed per agency policy and procedure at recertification for two (2) of two (2) patients for whom wound healing goals were included on the recertification "Home Health Certification and Plan of Care".

The agency failed to ensure an RN and licensed practical nurse (LPN) coordinated skilled nursing (SN) services for one (1) of two (2) for whom wound healing goals were included on the recertification plan of care.

The agency failed to ensure wound assessment was completed per agency policy and procedure for two (2) of three (3) patients for whom wound care was provided by skilled nursing (SN) staff.

The agency failed to ensure that documentation was maintained in the clinical record which provided evidence that three (3) of three (3) patients were made aware, and provided approval for, a delay in the home health start of care date within 48 hours of referral or inpatient discharge, or when the…

The agency failed to ensure three (3) of three (3) direct care staff followed COVID-19 universal face covering guidelines.

The agency failed to ensure physical (PT) and occupational (OT) therapy services for one (1) of three (3) patients for whom PT and OT services were ordered on the "Home Health Certification and Plan of Care" or interim physician orders.

The agency failed to ensure the provision of physical (PT) and occupational (OT) therapy services were overseen/supervised by a qualified therapist.

The agency failed to ensure the physical therapy assistant (PTA) was supervised by the physical therapist (PT) every seven (7) visits, or every fourteen (14) days, for one (1) of one (1) patients for whom PT services were provided by a PTA for more than seven (7) visits or for more than fourteen…

The agency failed to ensure the skills competency evaluation was completed by a qualified physical therapist for one (1) of two (2) physical therapists (PT)/physical therapy assistants (PTA) hired after March 14, 2016. (Employee #6) Findings include: On October 31, 2018 at approximately 2:16 PM…

The agency failed to ensure that the "Revision to Plan of Care" included a visit frequency and duration for one (1) of four (4) patients who received skilled nursing (SN) services.

The agency failed to ensure that a comprehensive re-assessment was performed prior to the completion of a revision to plan of care for one (1) of two (2) patients who recertified for home health services.

The agency failed to ensure documentation was maintained in the electronic clinical record that three (3) of three (3) patients/clients were provided written updates for a change in the skilled nursing visit frequency.

The agency failed to ensure that one (1) of three (3) RN's administered intravenous medications per policies/procedures.

The agency failed to ensure that the start of care (admission) assessment included a comprehensive assessment of the health status by the registered nurse (RN) for the two (2) of two (2) patients for whom intravenous (IV) medications were administered by agency nursing staff.

The agency failed to ensure that the "Home Health Certification and Plan of Care" included physician orders for medication reconstitution (addition of a solution to convert a powdered medication into liquid form) and/or infusion rates/times for two (2) of two (2) patients for whom intravenous (IV)…