RN4KIDS, Inc

The home health provider failed to ensure the registered nurse (RN) completed the initial assessment within 48 hours of the patient's referral or return home in one of five full records reviewed (Record/Patient #3).

The home health provider failed to ensure that the physician orders were signed in one of five full records reviewed (Record/Patient #3).

The provider failed to ensure the name and contact information for the clinical manager was provided to the patient's family in two of three home visit observations conducted (Records/Patients #1 and #2).

The agency failed to maintain documentation of emergency preparedness training at orientation in three (Employees #1, #2, and #3) of three employee files reviewed.

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in two (Records/Patients #1 and #7) of two home visit observations.

The agency failed to ensure a registered nurse or applicable rehabilitation skilled professional conducted an initial assessment visit within 48 hours of referral, within 48 hours of the patient’s return home, or on the physician ordered start of care date in three (Records/Patients #2, #3 and #4)…

The agency failed to ensure the plans of care (POC) included all required information in three (Records/Patients #2, #3, and #5) of five full records reviewed.

The agency failed to update the written notice of patient rights and the agency discharge and transfer policies to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information about patient rights must be provided to patients in a manner that is accessible to persons with disabilities and in a…

The agency failed to ensure staff were provided infection control training during orientation and annually for two (Employee #1 and #2) of two employee files reviewed.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights of the patient and representive (if any) regarding contact information for the home health agency administrator to receive…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the rights of the patient and representative (if any) to be free from verbal, mental, sexual and physical abuse, including injuries of…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) has the right to participate in, be informed about, and consent or refuse care, with…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient/representative's right to be advised of financial liability changes as soon as possible, in advance of the next home health…

The agency failed to provide drugs, services and treatments only as ordered by a physician in, but not limited to, two (Records/Patients # 5 and #4) out of five records reviewed.

The agency failed to ensure each patient received written information related to the name and contact information of the home health agency's clinical manager in three (Records/Patients #1, #2, and #3) of three applicable cases.

The agency failed to provide the patient/caregiver with advance directive information that included definitions for living will, durable power of attorney for health care decisions; and information about Missouri case law as required by federal and state law in three (Records/Patients #1, #2, and…