Serve Link Home Care, Inc

The home health provider failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in, but not limited to, one of three home visit observations conducted (Record/Patient #3).

Emergency Operations Plan (EOP), observation and interview, the agency failed to establish and maintain an emergency preparedness program that meets federal requirements, and must include procedures to follow up with patients to determine services needed, if there is an interruption of services.

The agency failed to ensure contact information was included and updated for federal and state emergency preparedness staff.

The agency failed to ensure that training in emergency preparedness was completed every two years after hire, for three employees (Aide's #1, #2 and #3) of three home health aide files reviewed.

The facility failed to continue implementing their program to protect visitors and staff who entered the home health agency office from those that have chosen not to be vaccinated against the COVID-19. This deficient practice has the potential to affect infection control needs for all…

The agency failed to ensure staff provided a written visit schedule to patients that included what discipline was visiting, when the discipline would visit, and the frequency of visits in two (Records/Patients #1 and #3) of three home visits.

The agency failed to ensure staff provided services as ordered by the physician in one (Record/Patient #5) of five full clinical records reviewed.

The agency failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire for three (Employee's #4, #5 and #7) of four employee files reviewed, and failed to ensure all staff had the Family Care Safety Registry (FCSR) checked prior to date of first patient contact, in…

The agency failed to ensure a complete, comprehensive discharge summary containing relevant information was sent to the patient’s physician within five business days for one (Record/Patient #7) of two discharge records reviewed.

Inc. failed to meet the following requirements of this condition of participation: - Ensure the registered nurse (RN) observed the home health aide perform all tasks required on the Missouri Home Health Aide Competency Evaluation (Part 2) Basic Skills Test (G768); - Ensure the RN or other…

The agency failed to assess/document each patient's acuity status in the event of an emergency as part of the comprehensive patient assessment per agency policy in, but not limited to, one (Record/Patient #1) of five records reviewed.

The agency failed to ensure that initial training in emergency preparedness was completed during orientation or after hire for two Employee #2 and #3 of four employee files reviewed.

The agency failed to assure the prevention of the transmission of infections and communicable diseases when the staff member failed to use standards of practice in the cleansing of equipment used for patient care during one (Record/Patient #1) of three home visit observation conducted.

Personnel file review and interview the agency failed to provide infection control education during employee orientation for one (Employee #1) of four personnel files reviewed.

The agency failed to ensure the registered nurse (RN) observed the home health aide perform all tasks required in one (Employee #1) of one home health aide personnel file reviewed.

The registered nurse (RN) failed to provide an individualized, patient specific home health aide plan of care in, but not limited to, two (Records/Patients #2 and #3) out of three applicable records.

The agency failed to assure the clinical record entries were accurate, complete, and appropriately timed in, but not limited to, one (Record/Patient #3) out of five records reviewed.

The agency failed to ensure the patient's were provided the names, addresses, and telephone numbers of federal and state-funded entities that serve the area where the patient resides.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in, but not limited to, one (Records/Patients #3) of three home visit observations conducted.

The agency failed to develop a complete plan of care (POC) in, but not limited to, two (Record/Patient #1 and #4) of five records reviewed.

The agency failed to provide the patient and caregiver a written copy of instructions outlining treatments to be administered by agency personnel, in two (Records/Patients #1 and #2) out of three home visits completed.

The agency failed to provide the patient and caregiver the name and contact information of the agency clinical manager in writing in, but not limited to, two (Records/Patients #1 and #2) out of three home visits completed.

The agency failed to follow physician orders as directed in the plan of care in, but not limited to, three (Record/Patient #2, #4 and #5) of five applicable records and failed to obtain physician orders for care for one (Record/Patient #4) of five applicable records.

The registered nurse (RN) failed to provide an individualized, patient specific home health aide plan of care, therefore the home health aide was unable to specifically follow the plan of care in three (Records/Patients #2, #3 and #4) out of three applicable records reviewed and failed to ensure…

The agency failed to adequately address whether the home health aide followed the plan of care in one (Record/Patient #4) of three applicable records reviewed that received home health aide services.

The agency failed to provide evidence the hepatitis B vaccination was offered and/or declined for one employee (Employee/Aide #1) out of four personnel files, and based on review of Section 192.2490.12 RSMo and Section 192.2495.6 and 7, RSMo, personnel file review, and interview, the agency failed…

The agency failed to complete and send a transfer summary to the receiving facility in, but not limited to, one (Record/Patient #3) of two applicable records and failed to provide evidence the discharge summary was sent to the physician within five business days in one (Record/Patient #6) of one…