Together Homecare of Northwest Indiana LLC

The agency failed to develop a process for collaboration with state and local emergency preparedness officials (E-0009), the communication plan failed to include names and contact information for physicians (E-0030), the agency failed to provide alternate means of communication per policy (E-0032)…

The agency failed to ensure the Patient Rights were maintained when the agency failed to ensure Patient's safety during the provision of care when home health aide [HHA] 1 neglected to ensure a safe environment during the provision of patient care (G0430) (Patient #1).

The home health agency failed to ensure the patient was accepted for treatment on the reasonable expectation that the agency could meet the patient's needs, or received an individualized written plan of care (POC) (G0570), ensure the patient received all services as ordered in the POC (G0572), the…

The agency failed to evidence data collected to monitor effectiveness of services and quality of care, nor approval from the governing body (G644), maintain performance improvement activities that focus on high risk, high volume, or problem prone areas (G648), maintain performance improvement…

The home health agency failed to ensure the Home Health Aide (HHA) was assigned to a specific patient by a Registered Nurse (RN) (See G0798), failed to ensure the HHA provided services that were ordered by the physician, included in the plan of care, and/or consistent with HHA training (See G0800)…

The home health agency failed to ensure the patient received all services as ordered in the plan of care (POC) in 2 of 3 active adult unskilled clinical records reviewed (Patient #2 and 7), 1 of 1 active adult skilled clinical record reviewed (Patient #4), and 1 of 2 discharged clinical records…

The agency failed to ensure agency personnel practiced standard/universal precautions to prevent transmission of infections for 1of 1 home visit observation of a home health aide (Patient #1).

The home health agency failed to ensure the Home Health Aide was assigned to a specific patient by a Registered Nurse (RN) in 2 of 3 active clinical records reviewed with adult patients who received non-skilled Home Health Aide (HHA) services only (Patient #2 and 7), and 1 of 1 discharged clinical…

The agency failed to identify and investigate complaint with caregiver report of home health aide missed shift for 1 of 1 records reviewed.

The agency failed to conduct an initial assessment visit within 48 hours of referral for 2 of 7 active records reviewed (Patient #1 and #3).

The agency failed to ensure the Registered Nurse (RN) completed a comprehensive reassessment during the last 5 days of the certification period for 1 of 1 active clinical record reviewed of an adult patient who received skilled nursing services (Patient #4).

The patient’s plan of care (POC) failed to include all required elements for 2 out of 3 unskilled clinical records reviewed (Patients #2 and # 5).

The home health agency failed to ensure the Registered Nurse (RN) obtained a verbal order to establish or update the Plan of Care (POC) in 1 of 1 active clinical record reviewed of an adult skilled patient (Patient #4) and in 1 of 2 clinical records reviewed with an adult patient who received…

The home health agency failed to ensure the Patient's Plan of Care (POC) was reviewed and revised by the certifying physician once every 60 days, for 1 of 1 clinical record reviewed for an adult patient who received skilled nursing services (Patient #4), and 1 of 2 clinical records reviewed with…

The agency failed to promptly alert the physician of a change in the patient’s condition so that the provider may determine if care should be altered for 1 of 3 adult unskilled clinical record reviewed (Patient #1).

The home health agency failed to ensure the Home Health Aide (HHA) provided services that were ordered by the physician, included in the plan of care, and/or consistent with HHA training, for 2 of 3 active clinical records reviewed with adult patients who received non-skilled HHA services only…

The Home Health Aide (HHA) failed to provide interdisciplinary communication to the Registered Nurse (RN) with regard to frequent refusals from the patient to allow performance of tasks assigned by the RN, in 2 of 3 active clinical records reviewed of an adult who were ordered unskilled services…

The agency failed to ensure home health aide supervision ensured the aide followed the plan of care and furnished care as assigned by the registered nurse for 1 of 3 adult unskilled patients.