Touch of Love Home Health Care Inc

The agency failed to ensure infection control practices were upheld according to the agency’s policy in 3 of 3 home visits for hand hygiene and gloving.

The agency failed to ensure the after-hours-on-call number was operating and available to the public, patients, and employees as noted after 4 of 4 unsuccessful attempts to reach the Nurse on call on the agency after-hours phone number.

The Registered Nurse (RN) failed to update and revise the comprehensive assessment to reflect a major change in the patient's condition for 1 of 5 active clinical records (#1) and 1 of 2 discharge records (#7), in a total of 7 records reviewed.

The home health agency failed to ensure all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#2, 3, 4).

The home health agency failed to ensure an agency-wide infection control program was maintained for the surveillance, identification, prevention, control, and investigation of patient and staff infections, for 2 active patients (#8, 11) and 2 discharged patients (#10, 12) with COVID-19 symptoms…

The home health agency failed to ensure all staff received infection control education in relation to daily self-monitoring for COVID-19, and failed to ensure all staff received and implemented infection control education related to performing a pre-visit screening of the patient for COVID-19…

The Registered Nurse (RN) failed to develop an aide care plan that was specific, not generalized, for each home health aide (HHA) shift for 3 of 5 active records reviewed (#1, 2, 4), in a total sample of 7 records.

The agency failed to ensure they did not require the patients to have a written primary caregiver prior to admission to homecare as the responsibility of the home health agency was to ensure the agency could meet the patient's needs for 1 of 3 home visit observations (#2).

The home health agency failed to ensure the comprehensive assessment included a complete and thorough health and psychosocial status for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 7 records.

The home health agency failed to ensure the comprehensive assessment included the patient's strengths, progress towards goals, and care preferences for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 7 records.

The home health agency failed to ensure the comprehensive assessment included individualized patient discharge planning needs for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 7 records.

The registered nurse (RN) failed to ensure the comprehensive assessment contained a complete review of medications and the medication list was maintained for 3 of 5 active records reviewed (#1, 2, 3), in a total sample of 7 records.

The Registered Nurse (RN) failed to update and revise the comprehensive assessment at discharge to reflect the patient's progress towards their goals for 2 of 2 discharge clinical records (#6, 7), in a total of 7 records reviewed.

The home health agency failed to ensure the plan of care (POC) included all pertinent diagnoses, the patient's psychosocial status, all equipment and supplies required, frequency and duration of visits to be made, the patient's rehabilitation potential and nutritional requirements, a complete and…

The agency failed to ensure all physician orders were recorded in the plan of care (POC) for 1 of 5 active records reviewed (#1), in a sample of 7 total records.

The home health agency failed to ensure the revised plan of care (POC) contained the patient's progress towards their goals for 5 of 5 active records reviewed (#1, 2, 3, 4, 5), in a total sample of 7 records.

The home health agency failed to evidence coordination of care with other entities who provided care for 3 of 3 patients who received care from other entities (#1, 4, 5), in a total sample of 7 records reviewed.

The Registered Nurse (RN) failed to conduct a complete physical assessment per professional standard for 1 of 1 skilled nurse visit observations (#3), in a total of 3 home visit observations.

The home health aide (HHA) failed to follow the plan of care for 3 of 5 active records reviewed, in a total sample of 7 records (#1, 2, 4).

The home health agency's administrator failed to ensure a qualified, pre-designated person, who was approved by the governing body, was available to assume the same responsibilities and obligations as the administrator in their absence; which had the potential to effect all agency patients.

The agency failed to ensure that written agreements were in place (and signed by both parties) that delineated the services each agency was to provide for all patients with shared agencies 3 of 3 patients who received care from another agency (#1, 4, 5), in a total sample of 7 records.

The home health agency failed to ensure a shared patient agreement which indicated who the primary home health agency was created for 3 of 3 patients who received care from another agency (#1, 4, 5), in a total sample of 7 records.