Royale Home Health Care, Inc

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to meet the Condition of Participation (CoP, refers to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Comprehensive Assessment of…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure the Condition of Participation (CoP, refers to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Care Planning…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure two of 7 sampled patients (Patient 1 and Patient 5) received interventions to manage pain.

An organization that delivers skilled nursing [a specialized level of medical care provided to patients who require assistance with daily activities and medical treatments] and other therapeutic service to a patient at home) failed to ensure a copy of the current plan of care (POC- a document that…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure that the OASIS (Outcome and Assessment Information Set, a standardized assessment tool required by the Centers for Medicare & Medicaid Services [CMS] that measures a…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) nursing staff (licensed vocational nurse 2/LVN 2) failed to conduct pain assessment in accordance with the agency’s policy and procedure, for one of 7 sampled patients (Patient 2).

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to properly assess the patient's continuing need for home care services, for two of 7 sampled patients (Patient 1 and Patient 4).

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to review all patient’s medications and update the medication profile with currently used medications for one of 7 sampled patients (Patient 5).

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure the Plan of Care (POC, a detailed, written document outlining the services and support an individual needs to meet their healthcare goals) included patient-specific…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure that all physician orders were recorded in the patient’s plan of care (POC, a detailed, written document outlining the services and support an individual needs to meet…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure that wound treatment order for one of 7 sampled patients (Patient 5) was administered only as ordered by a physician or allowed practitioner.

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to clarify the physician's orders regarding fluid restriction (a diet that limits the total amount of liquids consumed), intake and output monitoring (tracking all the fluid that…

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to maintain documentation to prove that a qualified evaluator validated the Certified Home Health Aide (CHHA, Certified Home Health Aide; a trained health care professional who…

An organization that delivers skilled nursing [a specialized level of medical care provided to patients who require assistance with daily activities and medical treatments] and other therapeutic service to a patient at home) failed to ensure one of five clinical staff (licensed vocational nurse 3…

The home health agency (HHA) failed to conduct the emergency preparedness training for staff on an annual basis.

The HHA's Quality Assessment and Performance Improvement (QAPI) failed to ensure effective oversight of each of their QAPI corrective measures every quarter and implementation of the HHA's plan of correction (POC) of the problems identified during the previous QAPI meeting.

The Home Health Agency (HHA) failed to have staff fit testing for N95 masks to prevent COVID-19 (an acute respiratory illness) transmission.

The home health agency (HHA) failed to provide evidence to indicate that a home health aide receive at least 12 hours of in-service training during each 12-month period . This failure had the potential to result in the staff inability to provide care to the patient to ensure safety and security.

The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for four of 13 sampled patients (Patients 4, 5, 9 and 10).

The home health agency (HHA) failed to provide services as indicated in the plan of care (POC) for two of 13 sampled patients (Patients 1 and 2).