T & N Reliable Nursing Care

The agency failed to develop comply with applicable Federal, State and local emergency preparedness requirements to establish and maintain a comprehensive emergency preparedness program.

The agency's staff failed to electronically report OASIS (Outcome and Assessment Information Set) data for a Medicaid patient aged 18 and over, and receiving skilled services for one of five clinical records (Patient # 8).

The Home Health Agency's Registered Nurse failed to conduct initial assessment visits to determine patients' immediate care and support needs (G514); Home Health Agency's clinical staff failed to conduct patient-specific comprehensive assessments (518); the nursing staff failed to document…

The agency failed to develop, implement, evaluate, and maintain an effective, ongoing, Home Health Agency-wide, data-driven Quality Assessment and Performance Improvement Program.

The Home Health Agency failed to develop, maintain and document an infection control program that has as its goal, the prevention and control of infections and communicable diseases.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that includes all of the required elements under the standard.

The Home Health Agency failed to develop and maintain policies and procedures based on an emergency plan, risk assessment, and a communication plan.

The Home Health Agency failed to develop and maintain a written emergency preparedness communication plan that includes how the agency interacts and coordinates with emergency management agencies and systems to protect patient health and safety in the event of a disaster.

The Home Health Agency failed to develop and maintain an emergency preparedness training and testing program.

The agency's staff failed to collect, encode, and transmit OASIS data for a Medicaid patient aged 18 and over and receiving skilled services for one of five clinical records (Patient # 8).

The Home Health Agency's clinical staff failed to conduct patient-specific comprehensive assessment to include the patients need for home care in 2 of 9 clinical records for patients receiving Personal Care Aide Services only (Patients # 6 and 9).

The nursing staff failed to document comprehensive nursing assessments that reflected patients' status in 2 clinical records (Patients #1, and 3).

The Home Health Agency failed to develop and maintain a (QAPI) Quality Assessment and Performance Improvement Program.

The Home Health Agency failed to develop a (QAPI) Quality Assessment and Performance Improvement Program utilizing quality indicator data, including measures derived from OASIS [Outcome & Assessment Information Set], other relevant data in the design of its program, and failed to collect and use…

The Home Health Agency failed to develop performance improvement activities.

The Home Health Agency failed to conduct performance improvement projects.

The Home Health Agency failed to ensure that its governing body that has full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, including its quality assessment and performance improvement program, defined, implemented…

The Home Health Agency's registered nurse failed to conduct initial assessment visits to determine patients' immediate care and support needs in 2 of 9 clinical records for patients receiving Personal Care Aide Services only (Patients # 4, and 6).

The agency's clinician failed to document updated and revised comprehensive assessments at discharge, in one of two closed clinical records for discharged patient (Patient #4).

The agency's clinician failed to document a discharge summary that includes the patients' progress in meeting care plan goals in one of two closed clinical records for discharged patients (Patient #4).