Unitypoint at Home

The agency failed to ensure agency staff provided treatments and services only as ordered by a physician.

The agency failed to do the following: 1) ensure agency home health aides provided care in accordance with their competency training (G0800); and, 2) ensure agency home health aides reported changes in the patient's condition to the registered nurse (G0804).

The agency failed to ensure ensure entries in the clinical record related to interventions provided by staff were accurate and complete and failed to ensure the accuracy and completeness of orders on the plan of care.

The agency staff failed to provide treatment as ordered by the physician for 1 of 3 sampled patients (Patient #6) with a wound requiring treatment.

A home health aide failed to transfer a patient via a Hoyer lift consistent with the home health aide's training for 1 of 5 sampled patients (Patient #1) with home health aide services.

The agency failed to ensure home health aides reported patient concerns to a registered nurse or supervisor for 1 of 5 sampled patients receiving home health aide services (Patient #1).

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions in the patient record and accurate and complete orders for patient care on the plan of care for 2 of 7 sampled patients (Patients #1 and #6) . Failure to ensure the patient's…

The governing body: 1) failed to maintain overall oversight and responsibility for the home health agency (G942); and, 2) failed to ensure the agency operated in compliance with the Medicare Conditions of Participation by allowing the agency to operate an unauthorized home health agency branch…

The agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment and failed to ensure patient's received a copy of an individualized emergency plan for 2 of 2 sampled patients with home visit…

The home health agency failed to ensure training in emergency preparedness policies and procedures to all hospice employees and individuals providing services under arrangement.

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice for staff observed during a home visits for 2 of 7 patients (Patients #1 and #9).

The governing body failed to assume full legal authority and responsibility for the operation of the agency by ensuring home health agency staff operated in compliance with the Conditions of Participation for voluntary participation in the Medicare program as a certified home heath care provider…

The home health agency failed to disclose to the State Agency the agency's use of a branch office to serve the needs of their patients.

The agency failed to ensure of the investigation a complaint made by the patient's caregiver regarding treatment or care that is (or fails to be) furnished for 1 of 7 sampled patients (Patients #8) receiving a home visit observation.

The agency failed to ensure the documentation of the existence and resolution of a complaint made by the patient's caregiver regarding treatment or care that is (or fails to be) furnished for 1 of 7 sampled patients (Patients #8) receiving a home visit observation.

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral from a physician or physician designee, within 48 hours of the agency's knowledge of the patient's return home from an inpatient facility or on the physician ordered start of care date for 8 of 16…

The agency failed to complete a drug regimen review, including all required components, with each comprehensive assessment for 5 of 17 sampled patients (Patients #1, #2, #4, #5 and #15).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current, accurate information for 6 of 17 sampled patients (Patients #1, #2, #4, #5 and #17).

The agency failed to ensure the Plan of Care included documentation of all physician orders a the time of a Resumption of Care for 1 of 3 sampled patients (Patient #12) with a resumption of care assessment.

The agency failed to ensure registered nurses provided care as ordered by the physician in the Plan of Care for 6 of 17 sampled patients (Patients #1, #8, #11, #16, #17 and #18).