Senior Support Services Inc

The home health agency failed to evidence the Plan of Care included all durable medical equipment (See G574); failed to ensure all patient care orders, including verbal orders, were incorporated into the plan of care (See G576); failed to ensure the physician orders for home health aide visits were…

The home health agency failed to ensure the QAPI (quality assessment and performance improvement) program included the measurement and analysis of each indicator (agency areas identified and in need of improvement) (See G642); failed to ensure their QAPI plan included areas of high-risk, high…

The agency failed to ensure the home health aide competency evaluation included documentation of the evaluation of home health aide skills while performing required tasks with a patient or pseudo patient (person acting as a patient) and/or included documentation of completion of all the required…

The agency failed to ensure the physician orders for home health aide visits were carried out for 1 of 3 patients receiving home health aide only services (#5).

The agency failed to ensure the QAPI (quality assessment and performance improvement) program included the measurement and analysis of each indicator (agency areas identified as needing improvement) for 1 of 1 agency.

The agency failed to ensure performance improvement projects were conducted that reflected the scope and complexity of the agency services and operations and failed to ensure documentation of performance improvement projects included the reasons for conducting the project and the measurable…

The Governing Body failed to ensure the agency maintained an ongoing quality improvement program (QAPI) for 1 of 1 agency.

The home health agency failed to follow accepted standards of practice and their own policies to prevent the transmission of infections and communicable diseases for 1 of 3 skilled nurse visits observed (Patient #4).

The agency failed to ensure their COVID-19 vaccine policy evidenced contingency plans for employees who were not fully vaccinated for COVID-19 for 1 of 1 agency.

The agency failed to ensure the home health aide (HHA) competency evaluation failed to evidence the evaluation of home health aide skills was while performing required tasks with a patient or pseudo patient (person acting as a patient) and included documentation of completion of all the required…

The agency failed to ensure the HHA (home health aide) care plan was specific to the needs of the patient for 6 of 6 record reviews with HHA services (Patient #1, 3, 4, 5, 6, and 7).

The home health agency’s governing body has failed to follow its own policies and failed to review the agency’s policies, budget, operational plans, or quality assessment and performance improvement program since the last recertification survey potentially negatively affecting all current patients.

The agency failed to ensure patient’s clinical records would be made available to the patient, free of charge, upon request at the next home visit, or within 4 business days (whichever comes first) with the potential to affect all 38 patients of the agency.

The agency failed to ensure it provided all patients with the correct name, address, and telephone number of the QIO (Quality Improvement Organization that manages all beneficiary complaints and quality of care reviews) for 1 of 1 agency.

The agency failed to ensure discharged patients were informed when the agency could no longer meet their needs and failed to ensure all discharged patients were assisted with identifying entities in their geographic area who could meet their needs for 2 of 2 discharged clinical records reviewed…

The home health agency failed to include in the Plan of Care (POC) all durable medical equipment (DME) for 2 of 5 active patient records reviewed (Patient #4 and 6).

The agency failed to ensure all patient care orders, including verbal orders, were incorporated into the plan of care for 1 of 5 active clinical records reviewed (Patient #7).

The agency failed to ensure all services provided were ordered by a physician for 1 of 4 active patients with skilled nurse services (Patient #3).

The agency failed to ensure all patients were provided with the name and contact information of the home health agency clinical manager (director of nursing) for 2 of 2 records reviewed for patients who had home visit observations and had a patient handbook that could be located in their home…

The agency failed to ensure their QAPI (quality improvement and performance improvement) plan included areas of high-risk, high volume and problem-prone, and the actions implemented were measured to ensure improvement was sustained for 1 of 1 agency.

The agency failed to ensure an accurate assessment was completed in 1 of 5 active clinical records reviewed (Patient #4).

The skilled nurse failed to ensure services were provided as ordered on the plan of care for 1 of 4 patients receiving skilled nursing services (Patient #7).

The home health agency failed to ensure the home health aide [HHA] provided services that as ordered and included in the plan of care and consistent with the aide care plan in 1 of 4 active clinical records reviewed with orders for home health aide services (HHA # 1).

The registered nurse (RN) failed to ensure the home health aide (HHA) provided aide services per policy and followed the care plan for 1 of 4 active records reviewed with home health aide service (HHA #1).

The agency failed to ensure staff followed infection control policies and procedures for 1 of 3 home visit observations (patient # 3).

The skilled nurse failed to notify the physician of elevated blood sugars as ordered per the plan of care for 1 of 5 clinical records reviewed for patients with a diagnosis of diabetes type 2 in a universe of 8 clinical records reviewed.

The skilled nurse failed to ensure they rechecked glucose levels to ensure desired levels were achieved for 1 of 5 clinical records reviewed for patients with a diagnosis of diabetes type 2 in a universe of 8 clinical records reviewed.