Sunrise Home Care Services Inc

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to review and update the "Medication Profile" (the information about the medicines a person is using and has used) for three of seven sampled patients…

The Home Health Agency(HHA) failed to meet the Condition of Participation for Care Planning, Coordination Of Services, and Quality Of Care as follows: 1. The HHA failed to perform assessment of incision site on the right and left knees for one of seven sampled patients ( Patient 1) (Refer to G 572).

The Home Health Agency (HHA) failed to meet the Condition of Participation for Quality Assessment and Performance Improvement (QAPI) program as follows: The HHA failed to ensure the QAPI program was developed based upon identified or negative patient care outcomes, measurable indicators to evaluate…

The home health agency (HHA) failed to ensure the emergency preparedness training for all staff was conducted at least annually.

The agency staff failed to ensure care followed the written plan of care (POC) for one of seven sampled patients (Patient 1).

The home health agency failed to provide documented evidence of a Quality Assessment and Performance Improvement (QAPI) program based upon identified or negative patient care outcomes, measurable indicators to evaluate changes in policy, procedure, and intervention.

The home health agency failed to provide documented evidence of performance improvement projects.

The skilled nurse (SN) failed to wash and sanitize his hands after removing his gloves that touched soiled a dressing, and prior to providing wound care for one of of seven sampled patients (Patient 1).

The home health agency (HHA) staff failed to review the medication regimen of three of seven sampled patients (Patients 1, 5, 6) and compare the medications with the medication profile and clarify the discrepancies with the physician, and failed to ensure a patient’s medications were not expired…

The agency staff failed to ensure the plan of care (POC) included acceptable vital signs (measurements of body's basic functions such as body temperature, pulse rate, respiration rate and blood pressure) parameters which would determine when to report to the physician to obtain further instruction…

The home health agency (HHA) failed to obtain a new insulin medication (used to treat number of diseases including diabetes, a group of diseases that result too much sugar in the blood) order for one out of seven sampled patients (Patient 1).

The home health agency (HHA) failed to ensure the physician reviewed/revised the plan of care (POC) in a timely manner for two of seven sample patients (Patient 6 and 7).

The licensed vocational nurse (LVN) failed to notify the physician promptly while a patient was not checking her BS (blood sugar) readings and administering sliding scale for insulin medication (used to treat number of diseases including diabetes, a group of diseases that result too much sugar in…

The home health agency (HHA) skilled nurse (SN) failed to provide instruction regarding opened Novolog insulin (rapid acting insulin that helps lower mealtime blood sugar spikes) which expires 28 days after it was opened, and failed to provide education/instruction about the correct use of the…

The Home Health Agency (HHA) failed to provide written information on the medications to the patient/caregiver, including the side effects of the medications that patients were taking for two of seven sampled patients (Patient 5, 6).

The home health agency (HHA) failed to review and update the patients medications and medication profile for one of seven sampled patients (Patient #4).

The Home Health Agency (HHA) failed to ensure two of seven sampled patients (Patient #1 and Patient #2) had a Plan of Care (POC) that was complete, containing orders for each discipline, treatments, goals, discharge plans, and the signature of the physician.

The home health agency (HHA) failed to address the pain level for one of seven sampled patients (Patient #4) as indicated in the plan of care (POC.) This deficient practice caused the patient severe pain related to ineffective pain management.