Sedum Home Health, Inc

The provider failed to ensure the provider’s patient rights information contained the following: - Written notice of the patient’s rights and responsibilities and the provider’s transfer and discharge policies to a patient-selected representative within 4 (four) business days of the initial…

The home health provider failed to: - Ensure an individualized plan of care (POC) included relevant physicians who were providing home health orders (G574); - Ensure all patient care orders, including verbal orders, were recorded in the plan of care (G576); - Ensure the individualized POC was…

The home health provider failed to ensure: - The coordination of patient care (G962); and - The administrator and clinical manager provided oversight assuring the development, implementation, and updating of the individualized plan of care (G0968).

The provider failed to document the review and update of their emergency preparedness plan every two years.

The provider failed to develop and implement an emergency communication plan that included the names and contact information of the contracted therapy employees.

The provider failed to include contact information for FEMA (Federal emergency management agency) in their emergency preparedness plan.

The provider failed to ensure patients were informed of the right to have access to patient rights information that was provided in a language and manner that is accessible and timely to (1) Persons with disabilities, including accessible web sites and the provision of auxiliary aids and services…

The home health provider failed to maintain professional standards according to their provider policy when wound measurements were not performed/documented in the clinical record in, one of four applicable records (Record/Patient #5).

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The home health provider failed to ensure all documented entries included appropriate authentication that included, an accurate signature date of a skilled nursing visit and clinician signature with the times in which the communication log documentation was completed, in three of five full records…

The provider failed to include the written notice of the patient’s rights and responsibilities and the home health agency’s (provider's) transfer and discharge policies to a patient-selected representative within 4 (four) business days of the initial evaluation visit.

The provider failed to provide written notice of the state toll free home health hotline number correct hours of operation.

The provider failed to include the name, address, and phone number of the current Quality Improvement Organization (QIO) that serves the area where the patient resides.

The provider failed to include that the provider must advise the patient or representative, physicians, and healthcare professionals who will be responsible for providing care after discharge, when a discharge for cause is being considered.

The home health provider failed to include the patient's right to be informed that, before the provider can discharge a patient for cause, they must first provide the patient and representative with contact information for other providers who may be able to provide care.

The provider failed to include the patient's right to be informed that, before the provider can discharge a patient for cause, they must first document the problem(s) and efforts made to resolve the problem(s) and enter this documentation into its clinical records.

The provider failed to ensure patients were informed of the right to have complaints investigated, including but not limited to, mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and/or misappropriation of patient property by anyone…

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in two of five full records reviewed (Records/Patients #2 and #3).

The provider failed to ensure a comprehensive assessment was updated and revised no less frequently than the last 5 (five) days of every 60 days, in one of one applicable record reviewed (Record/Patient #2).

The home health provider failed to ensure an individualized plan of care (POC) included all relevant physicians that were providing home health orders, in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure that all patient care orders, including verbal orders, were recorded in the plan of care (POC), in one of five full records reviewed (Record/Patient #3).

The provider failed to ensure that the individualized plan of care was reviewed and revised by the physician responsible for the home health plan of care and the HHA (home health agency) no less frequently than every sixty (60) days, in one of five full records reviewed (Record/Patient #2).

The home health provider failed to integrate orders from all physicians involved in the plan of care, to assure coordination of all services and interventions were provided to the patient in, one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure the coordination of care met the patient's needs in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure staff provided the patient and/or caregiver with a copy of written instructions outlining the patient’s medication schedule/instruction, including the medication name, dosage, and frequency in, one of three home visit observations (Record/Patient #3).

The clinical manager failed to provide oversight of patient care services that included, coordinating care with the LPN (licensed practical nurse), in one of five full records reviewed (Record/Patient #2).

The clinical manager failed to provide oversight of patient care services that included, assuring the development, implementation, and updates of the individualized plan of care, in one of five full records reviewed (Record/Patient #2).

The provider failed to ensure that clinical records included all interventions and responses to those interventions, in one of five full records reviewed (Record/Patient #2).