Superior Home Health Services LLC

The agency failed to ensure its emergency preparedness and response plan addressed the patient population and included the type of services the home health agency had the ability to provide in an emergency.

The agency's emergency preparedness and response plan failed to include procedures to inform State and local officials of any on-duty staff or patients that the agency was unable to contact.

The agency's emergency preparedness and response plan failed to include strategies for the use of volunteers or other emergency staffing to address surge needs during an emergency.

The agency's emergency preparedness and response plan failed to include names and contact information for patients' physicians.

The agency's emergency preparedness and response plan failed to include procedures for providing information regarding the home health agencies needs and its ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to conduct an additional annual full-scale exercise or table top exercise as part of the agency's testing of the emergency preparedness and response plan.

The agency failed to enforce their written policy addressing infection control to include documentation of infections that patients acquired while receiving services for two of seven patients whose records were reviewed (Patients 2 and 3).

(This is a continuing violation previously cited on 10/11/17 and on 08/26/15 at G236) Based on clinical record review and interview, the agency failed to ensure that entries to the clinical record were current and accurate for two of seven patients whose records were reviewed.

The agency failed to provide patients with their policy on transfer and discharge for 7 of 7 licensed and certified patients whose records were reviewed.

(This is a continuing violation previously cited on 10/11/17 and 08/26/18 at G108) Based on record review and interview, the agency failed to provide the Notice of Medicare Non-Coverage (NOMNC) no later than 2 days before discharge and a written notification no later than five days before the date…

The agency failed to provide patients with names, addresses, and telephone numbers of the following Federally and State funded entities that reside in the patients services areas: Agency on Aging; Center for Independent Living; Protection and Advocacy Agency; Aging and Disability Resource Center…

The agency failed to ensure patients received an initial assessment within 48 hours of referral for one of seven patients whose records were reviewed (Patient 4).

(This is a continuing violation previously cited on 10/11/17 at G172 and G339 and on 12/16/16 at 334 and 08/26/15 at G339) Based on record review and interview, the agency Registered Nurse failed to update and revise the comprehensive assessment during the last 5 days of each certification period…

The agency failed to ensure the plans of care included a description of each patient's risk for emergency department visits and hospital re-admission for seven of seven patients whose records were reviewed (Patients 1, 2, 3, 4, 5, 6 and 7).

The agency failed to ensure plans of care/treatment plans were reviewed by the physician at least every 60 days for two of seven patients whose records were reviewed (Patients 6 and 7) in that: - The therapy services treatment plan for Patient 6's had not been signed.

The agency nurses failed to communicate and coordinate with the patient's physicians for one of seven patients whose records were reviewed (Patient 2) in that: -The nurses failed to document communication with the agency and the physician regarding Patient 2's missed visits for 03/29/18, 04/09/18…

(This is a continuing violation previously cited on 10/11/17 and 08/26/15 at G158) Based on clinical record review and interview, the agency nurses failed to provide services as ordered by the physician in the plan of care for one of seven patients whose records were reviewed (Patient 2) in that…

The agency failed to ensure the patient record was maintained in accordance with policy to ensure clinical notes were written the day the visit was conducted, turned in within seven days and incorporated into the record within 14 working days for one of seven patients whose record was reviewed…