Shining Star Home Health Care

The governing authority failed to ensure that all patients have a plan of care including services to be provided and received care as written in the plan of care.

The governing authority failed to inform patients about the changes with the start of services.

The governing authority failed to communicate with the physician.

The governing authority failed to integrate services that are provided under arrangement.

The agency failed to ensure that all completed OASIS (Outcome and Assessment Information Set) assessments were transmitted to the CMS (Centers for Medicare & Medicaid Services) within thirty (30) days.

The agency failed to provide the Home Health Aide (HHA) services together with a skilled professional or provide written patient care instructions for the Home Health Aide (HHA) that included observations the aide should reported to the agency supervisor.

The agency failed to ensure that patients receive all services as outlined in their individualized plan of care.

The agency failed to ensure the comprehensive assessment accurately reflect the patient's status.

The agency failed to ensure that all patients received the appropriate referral to assist them in meeting their required need.

The agency failed to ensure that all medications were accurately reviewed, reconciled and correctly documented in the patient's clinical record.

The agency failed to ensure that all pertinent information is included in the patient's individualized plan of care.

The agency failed to ensure the relevant physician(s) or allowed practitioner(s) were alerted to changes in the patient's condition or needs that suggest outcomes are not being achieved and that the plan of care should be altered.

The agency failed to revise a plan of care that reflects the current information from the patient's comprehensive assessment.

The agency failed to ensure that the employees providing services for the HHA (Home Health Agency) met the required training to carry out the assigned patient care tasks, in a safe, effective, and efficient manner.

The agency failed to ensure the aides provided services that were ordered by the physician or allowed practitioner or following the plan of care.

The agency failed to ensure that home health aide (HHA) supervision include aides providing care in a safe and effective manner and demonstrating competency with assigned tasks.

The agency failed to ensure the discharge summary is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA - within five (5) days of discharge.