Universal Healthcare Services, LLC

The agency staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) of seven (7) clinical records reviewed in the survey sample (Clinical record: #6).

The agency failed to ensure patients were informed at the time of admission of the frequency of visits for three (3) of seven (7) patients in the survey sample (Clinical records: #2, #4 and #6).

The agency failed to ensure each patient had a completed individual emergency preparedness plan as part of their comprehensive assessment for three (3) of ten (10) clinical records reviewed in the survey sample.

The agency failed to ensure their staff adhered to confidentiality practices and submitted completed paperwork within 48 hours per the agency's policy and procedure for two (2) of ten (10) clinical records reviewed in the survey sample.

The agency failed to ensure skilled services were provided according to the plan of care signed by a physician for one (1) of one (1) clinical record in the survey sample.

The agency failed to ensure the patient was informed at the time of admission regarding the charges the patient may have to pay for home health services before care is initiated for two (2) of ten (10) clinical records reviewed.

The agency failed to ensure the patient received proper written notice, in advance of discharging from services for six (6) of ten (10) clinical records reviewed.

The agency failed to ensure patients were admitted within 48 hours of the referral date or within 48 hours of the patient's return home for three (3) of nine (9) clinical records reviewed in the sample survey (Patient records #2, #7, and #9).

The agency failed to ensure the patient's medication profiles contained a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions…

The agency staff failed to ensure each patient's individualized plan of care contained documented goals identified by the patient and/or their caregiver for ten (10) of ten (10) clinical records reviewed in the survey sample.

The agency failed to take actions aimed at performance improvement for a deficient practice cited during their 2016 survey and again on this current survey.

The agency failed to ensure services were provided according to the patient's plan of care for one (1) of ten (10) clinical records reviewed.

The agency's staff failed to maintain a current health record to include each patient's current assessments from the most recent home health admission and up to date clinical notes.

Agency staff failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit.