Truheart Home Health

The agency failed to ensure emergency preparedness disaster table-top exercises, drills, community drills or plan activation events were conducted for calendar years 2022 and 2023 for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement for all patients and employees.

The agency failed to ensure conduction of patient centered QAPI Program activities that included self-monitoring efforts and opportunities to identify problems to improve care, services and operations for all patients and employees.

The agency failed to ensure the selection, review and reporting of ongoing PIP data through the QAPI program for all patients and employees.

The agency failed to ensure governing body oversite of the conduction of a patient centered QAPI program for all patients and employees.

The agency failed to ensure governing body oversite of: 1. An operating budget, capital expenditure plan and allocation of resources activities for calendar year 2022 and 2023; and 2. Agency program evaluation for calendar years 2022 and 2023 effecting all patients and staff.

The agency failed to ensure advance beneficiary notice and/or HHCOC notice was provided to two (Patients #6 and 7) of eight patients.

The agency failed to: 1. Show documentation of problems encountered by the HHA related to behaviors that impeded the HHA from providing care and services for one (Patient #6) of eight patients; 2. Educate the patient on potential health outcomes from discontinued HHA care and services for one…

The agency failed to ensure physician orders to discontinue a home health aide visit frequency for one (Patient #5) of eight patients.

The agency failed to ensure services were provided as ordered on the POC for: 1. SN to conduct assessment of patient weight every visit and notify the physician of change in patient weight for one (Patient #3) of eight patients; 2. SN to perform suprapubic catheter change using 18 French /15cc…

The agency failed to ensure a completed transfer/discharge summary was provided for two (Patients #7 and #8) of eight patients.

The agency failed to ensure an Emergency Preparedness Program specific to the agency was developed.

The agency failed to ensure an ongoing, comprehensive QAPI program was developed and approved by the governing body.

The agency failed to ensure the governing body provided oversight of agency operations and programs.

The agency failed to ensure a complaint was investigated and resolved for one (Pt #8) of one complaints.

The agency failed to ensure development of individualized plan of care to include the frequency and duration of visits for four (Pts #1, 4, 5, and 6) of seven patients.

The agency failed to ensure the discharge for one (Pt #3) of seven patients was communicated with the physician of record.

The agency failed to ensure PT and CHHA visits were completed in accordance with the plan of care for one (Pt #2) of seven patients.

The agency failed to ensure the clinical skilled notes (narrative section) were prepared and updated the for one (Patient #6) of seven patients.