Tender Love Home Services LLC

The agency failed to ensure emergency preparedness training was provided and documented every 2 years in 5 out of 5 personnel records reviewed with direct patient care (CM, Alternate CM, HHA 1, HHA 2, HHA 3).

The agency failed to ensure each patient received the home health services that are written in the individualized plan of care that identifies patient-specific measurable outcomes and goals in 1 of 1 skilled active clinical record (Patients #2) and one of one closed clinical record of a patient…

The agency failed to ensure accepted standards of practice to prevent the transmission of infections and diseases were followed in 1 of 1 active clinical record with a home visit (Patient #1).

The agency failed to ensure the RN assigned tasks appropriate to the HHA in 2 of 2 active clinical records reviewed (Patients #1, 2) and 1 of 3 closed clinical records with HHA services (Patient #5).

The agency failed to ensure an initial assessment was conducted within 48 hours of referral or the practitioner ordered start of care dated in 1 of 1 active clinical record reviewed of a bedbound patient (Patient #1).

The agency failed to ensure the content of the comprehensive assessment accurately reflected the patient’s health, psychosocial, functional, and cognitive status in 2 of 2 active clinical records reviewed (Patients #1, 2).

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s primary caregiver, available support, and their willingness, ability, availability, and schedules to provide care in 1 of 1 active clinical record with a home visit (Patient #1).

The agency failed to ensure the individualized POC included patient’s psychosocial status, types of services, supplies and equipment required, nutritional requirements, and safety measures to protect against injury in 2 of 2 active clinical records reviewed (Patients #1, 2) and 2 of 4 closed…

The agency failed to ensure services and treatments were administered only as ordered by a physician in 1 of 2 active clinical records reviewed (Patient #1).

The agency failed to ensure the HHA provided services consistent with HHA training in 1 of 1 active clinical record of a patient that requires a mechanical lift to move patient (Patient #1).

The agency failed to ensure all staff followed standard precautions to prevent the transmission of infections and communicable diseases in 1 of 2 home visits observed (#6).

The home health agency failed to ensure the plan of care contained complete medication orders for all patient medications in 7 of 7 records reviewed (#1, #2, #3, #4, #5, #6, #7).

The home health aide failed to provide services as ordered in the aide care plan in 5 of 7 clinical records reviewed with home health aide services (#3, #4, #5, #6, #7).

The home health agency failed to ensure the home care aide followed the aide plan of care and functioned within her scope of practice for 1 of 2 home visits with aide services and a total sample of 7 clinical records reviewed.