Tarlani Corp.

The Home Health Agency (HHA) failed to ensure contents and information in the patients' medical records were safeguarded from unauthorized access by unauthorized HHA staff to make any alterations or modifications for two of 11 sampled patients (Patient 26 and Patient 28).

LVN 3 stated Patient 26 was not homebound, was independent of all his care, never complained of any pain during all her visits, did not have wounds, no falls, would take his medications regularly, and would drive.

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the plan of care (POC) covered all pertinent diagnoses for one of 11 sampled patients (Patient 18).

An organization that delivers skilled nursing and other therapeutics service to a patient at home) staff failed to check blood sugar level as ordered by the physician for one of 11 sampled patients (Patient 27).

The home health agency (HHA) failed to ensure the Condition of Participation for Comprehensive Patient Assessment of Patients was not met as follows: The home health agency (HHA) nursing staff failed to ensure a comprehensive wound assessment was conducted that included the location, size…

The Home Health Agency (HHA) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding Care Planning, Coordination, Quality of Care was met as follows: The HHA failed to notify one of…

The home health agency (HHA) failed to meet the Condition of Participation for Clinical Record as follows: The home health agency staff failed to submit nursing clinical notes within the timeframe as indicated in the agency's policy and procedure for one of 18 sampled patients (Patient 3).

The home health agency (HHA) failed ensure Plans of Care (POC) were signed and dated by the physician within 30 days of start of care for 11 out of 18 sampled patients (Patients , 3, 4, 5, 6, 7, 8, ,9 ,10, and 11) certified to receive home health services.

The Home Health Agency (HHA) failed to ensure a copy of the current plan of care (POC- information identified based upon the patient identified needs and development of appropriate interventions) was provided to two of 18 sampled patients (Patient 1 and Patient 2).

The home health agency failed to track, monitor and evaluate adverse patient events and include them in the agency's performance improvement projects (PIP, a concentrated effort on a particular problem in one area of the facility or facility wide involving gathering of information systematically to…

The home health agency (HHA) failed to address the increasing number of complaints or grievances in their governing body meetings.

The nursing staff failed to perform infection control precaution while providing wound care treatment for one of 18 sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure patients' clinical records were completed, signed, and dated for 11 of 18 sampled patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11).

The home health agency (HHA) nursing staff failed to ensure a comprehensive wound assessment was conducted that included the location, size, drainage, color, odor, and appearance of the wound bed in accordance with their policy and procedure for one of 18 sampled patients (Patient 5).

The home health agency (HHA) failed to review all medications the patient is currently using and maintained an accurate, and current medication profiles for 1 of 18 patients (Patient 7).

The Home Health Agency (HHA) failed to notify one of 18 sampled patients (Patient 6) Medical Doctor 1 (MD 1) of Patient 6’s seven missed wound care home visits and failed to update Patient 6’s plan of care.

The Home Health Agency (HHA) staff failed to submit nursing clinical notes within the timeframe as indicated in the agency's policy and procedure for one of 18 sampled patients (Patient 3).

The home health agency failed to maintain and document accurate information in the electronic medical record for one of 18 sampled patients (Patient 8).