Spring Valley Home Hlth Agency

The agency failed to meet the Conditions of Participation (CoP) for Organization and administration of services, 42 CFR § 484.105 at G0940. The agency had discharged all of their patients and did not have skilled services available for any future patients the agency may admit.

The agency failed to meet the Conditions of Participation (CoP) for Clinical records, 42 CFR § 484.110 at G1008. See G1026, Retention of records and G1030, Retrieval of records.

The agency failed to provide skilled nursing services and at least one other therapeutic service for over 12 months.

The agency failed to retain clinical records of home care clients served in the last five years affecting 29 patients were were discharged to another agency.

The agency failed to retain clinical records of previous clients served in the last five years affecting 29 patients.

The agency failed to complete a comprehensive drug regimen review to ensure all medications/dosages were accurate 1 of 3 patients (P5) with a home visit reviewed who required a drug regimen review.

The agency failed to ensure the individualized plan of care (POC) included the required components for 6 of 7 (P1, P2, P3, P4, P5 and P6) plan of cares (POC) reviewed.

The home health agency failed to perform home health aide visits as directed on the plan of care for 1 of 2 (P9) reviewed for home health aide (HHA) services not receiving skilled nursing care.

The agency failed to ensure supervisory visits of home health aides (HHA's) were completed every 14 days for 1 of 2 patients (P5) reviewed who had a home health aide (HHA) and skilled nursing services.

The home health agency failed to perform the supervisory visits every 60 days while the home health aide was present for 1 of 2 patients (P9) reviewed for home health aide (HHA) services and not receiving skilled nursing care.