Sefertt Health Care LLC

The home health agency (HHA) failed to provide a reasonable expectation for use of call lights for 4 of 4 patient (P1, P2, P3, P4) reviewed for assistance.

The home health agency (HHA) failed to conduct a thorough investigation for 1 of 1 patient (P1) reviewed.

The home health agency (HHA) failed to conform with practitioner orders for the services for 4 of 4 (P1, P2, P3 and P4).

The agency failed to provide oversight of patient assignments for four complex patients for 4 of 4 (P1, P2, P3, & P4) reviewed for staffing.

The agency failed to provide the patient/legal representative the OASIS (Outcome and Assessment Information Set) privacy notice which is required under Federal Privacy Act for 3 of 3 patients (P1, P2 and P3) reviewed.

The agency failed to ensure 3 of 3 patients (P1, P2, and P3) reviewed were offered to participate in the plan of care (POC) in receiving signed informed consent for audio/video monitors in their rooms.

The facility failed to thoroughly investigate an allegation of neglect and abuse for 1 of 1 patient (P1) reviewed who was observed to be drinking alcohol by staff and reported being spit on by a staff member.

The home care agency failed to report an allegation of neglect and abuse for 1 of 1 patient (P1) who was allowed to drink alcohol while taking narcotic medication P1 made an allegation of being spit on by a staff member personal care attendant (PCA-A).

The agency failed to promptly notify the physician for 1 of 1 patient (P1) reviewed for providing additional pain medications without the physician’s prescribed order.

The agency failed to promptly alert the physician of changes in 1 of 1 patient (P1) reviewed for refusals in medications, treatments, and drinking.

The home health agency was providing duties using a home health aide (HHA)-A that was not in their scope of practice in services to provide medication’s, treatments for 3 of 3 patients (P1, P2 and P3) reviewed who required medications that were unable to self-administer medications or ventilation…

The agency failed to ensure home health aide (HHA) visits were supervised every 14 days for 4 of 4 patient (P1, P2, P3 and P4) reviewed for HHA services.

The facility failed to address in their Emergency Preparedness Plan the patient population including, but not limited to, persons at-risk.

The facility failed to address in their Emergency Preparedness Plan a policy on how the agency would utilize volunteers during an emergency.

The facility failed to address in their Emergency Preparedness Plan, tabletop disaster drills or active disaster drills.

The facility failed to ensure proper infection control practices were followed for 1 of 1 patient (P1) reviewed for infection control.

The facility failed to address in their Emergency Preparedness Plan the patient population including, but not limited to, persons at-risk.

The home health agency (HHA) failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

The agency failed to ensure the emergency preparedness communication plan included a procedure for sharing information on occupancy and the facility's ability to provide assistance to the authority having jurisdiction in the event of an emergency.

The agency failed to provide services as ordered in the Plan of Care (POC) and failed to inform the physician of services that were not provided for 2 of 3 patients (P1, P4) reviewed for receiving services as indicated per the POC.

The agency failed to ensure all field heath care workers (HCWs) used proper Personal Protective Equipment (PPE), based on the current Federal and State government guidelines related to COVID-19 for 2 of 3 patients (P1, P3).

The agency failed to report immediately to the State Agency (SA) allegations of abuse for 2 of 2 patients (P7, P6 ) reviewed for patient rights.

The agency failed to ensure the plan of care (POC) included advanced directive status for 7 of 7 patients (P1, P7, P3, P5, P2, P4, P6,) reviewed during home visits and record review.

The agency failed to provide appropriate personal protective equipment (PPE) to their field staff when providing care to clients based on the current Federal and State government guidelines related to COVID-19. These practices had the potential to affect all 27 patients who received services from…