Staffed for Perfection Healthcare Staffing

The agency failed to maintain compliance with the condition of Emergency Preparedness at 42 CFR 494.62. The requirement was not met as evidenced by: the agency failed to complete a community based hazard risk assessment (E0006); the agency failed to include a process for cooperation and…

The agency failed to measure or track quality indicators that would enable the agency to assess the agency operations (G0642); the agency failed to utilize data to identify opportunities for improvement (G0644); the agency’s governing body failed to approve the frequency and detail of data…

The agency failed to ensure: the home health aide [HHA] was evaluated for competency before providing patient care (see tag G0768); the home health aide provide services that were consistent with the HHA's training (see tag G0800); the HHA notified the RN of patient's abnormal vital signs (see tag…

The agency failed to ensure all necessary medical information pertaining to the patient’s course of illness and treatment was sent to the receiving facility or health care practitioner to ensure the safe and effective transition of care in 1 of 2 active clinical records reviewed of a patient…

The agency failed to ensure patients received services as ordered in the plan of care in 1 of 2 active clinical records reviewed with a foley catheter (catheter into the bladder to drain urine)(Patient #1), in 3 of 5 active clinical records reviewed with wound care (Patient #3, Patient #5, and…

The agency failed to ensure they adopted and implemented standard infection control practices and precautions to include bag technique and failed to ensure hand hygiene practices were maintained to prevent the transmission of infections and communicable diseases in 2 of 2 skilled nursing visits…

The agency failed to ensure the Home Health Aide [HHA] provided services after a competency evaluation was completed by an RN with a patient or pseudo patient in 1 of 1 agency HHA (HHA 1).

The agency failed to ensure an RN performed an initial assessment within 48 hours of a referral in 1 of 1 active clinical records reviewed with a diagnosis of guillain-barre syndrome (condition that causes weakness and paralysis) (Patient #4).

The agency’s comprehensive assessment failed to reflect patients’ current health status in 1 of 1 active clinical record reviewed with a port a catheter (Patient #2), in 2 of 2 active clinical records reviewed with a foley catheter (Patient #1 and Patient #3). in 1 of 1 active clinical record…

The agency failed to ensure the POC included all medications and treatments to include diabetes testing frequency in 4 of 4 active skilled clinical records reviewed with a diagnosis of diabetes (body’s impaired ability to regular insulin resulting in elevated levels of glucose in the blood)…

The agency failed to obtain physician verbal orders to continue care at recertification in 1 of 1 active clinical records reviewed with a start of care prior to 12/05/2025 (Patient #6).

The Director of Nursing failed to provide ongoing interdisciplinary assessment of Home Health Aide services in 2 of 2 patients with home health aide services (Patient #6, Patient #7) from HHA 1 out of a sample of 1 HHA.

The agency failed to provide home health aide services per the physician referral in 1 of 1 active clinical record reviewed with a diagnosis of Guillain-Barre syndrome (body’s immune system attacks the nerves causing weakness, numbness or paralysis) (Patient #4).

The agency failed to ensure the agency ensured home health aide services assigned and provided were consistent with the HHA training and ability in 1 of 1 HHA personnel record reviewed (HHA 1) out of a sample of 1 HHA employed.

HHA 1 failed to ensure abnormal vital signs were reported to the RN in 1 of 2 active clinical records reviewed with HHA 1 (Patient #6).

The agency failed to ensure Home Health Aide [HHA] supervisory visits were conducted every 14 days for 2 of 2 active skilled patients with an HHA (Patient #6, Patient #7).