Signature Healthcare at Home

The agency failed to perform a complete review of medications that included checking compliance with drug therapy for 1 of 17 patient records reviewed (Patient #15).

For 1 of 17 patients (Patient #15), the agency failed to ensure a physician was promptly notified of changes in the patient's condition that suggest a need to alter the plan of care.

The home health agency failed to hold an initial visit within 48 hours of referral for 2 of 3 patient records reviewed (Patients #2 and #3).

The HHA failed to review and update the emergency preparedness plan policy and procedure at least annually.

The HHA failed to perform an annual drill and/or tabletop exercise during the prior year.

The agency failed to electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the beneficiary for 441 of 3860 assessments processed.

The agency failed to document the resolution of complaints according to the agency policy for 4 of 10 complaints reviewed.

The home health agency failed to hold an initial visit within 48 hours of referral for 3 of 17 patient records reviewed (Patient #5, #6, and #7).

The agency failed to perform a complete review of medications that included checking medication orders for accuracy for 2 of 17 patient records reviewed (Patients #7 and #9).

The agency failed to ensure an onsite supervisory visit was conducted at least every 14 days for 6 of 17 patients (Patients #1, #3, #4, #5, #11, and #15) who received home health aide services for greater than 14 days.

The agency failed to include all interventions and responses to those interventions in the clinical record for 12 of 17 patient records reviewed (Patients #1, #2, #5, #8, #9, #10, #11, #12, #13, #14, #15, and #16).

The agency failed to ensure an onsite supervisory visit was conducted at least every 14 days for 4 of 4 patients (Patients #1-4) who received home health aide services for greater than 14 days.