USA Home Health, Inc

Failed to ensure that all staff are trained in emergency preparedness and conduct the emergency drill annually.

Failed to ensure pain interventions and reassessment of pain were carried out in accordance with the plan of care (POC - a document that serves as a comprehensive, physician-signed plan detailing the necessary skilled home health services for patients, that includes diagnoses, orders, medications…

Failed to provide a copy of the plan of care (POC - a document that serves as a comprehensive, physician-signed plan detailing the necessary skilled home health services for patients, that includes diagnoses, orders, medications, treatments, and goals), to three of 7 sampled patients (Patient 2…

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to provide education on contaminated sharps disposal for one of 7 sampled patients (Patient 4).

Failed to ensure the patient’s clinical records included complete and accurate assessment, including assessments from the most recent home health admission, clinical notes, plans of care, and physician or allowed practitioner orders, for three of 7 sampled patients (Patient 2, Patient 4, and…

The home health agency (HHA) failed to ensure the emergency preparedness training for staffs are conducted at least annually as required.

The Home Health Agency (HHA) failed to follow a written plan of care established by the physician by not assessing the patient's oxygen saturation (the fraction of oxygen-saturated hemoglobin relative to total hemoglobin in the blood- normal pulse oximeter readings usually range from 95 to 100…

The Home Health Agency (HHA) failed to ensure the staffs are fit tested for the use of N95 masks to prevent COVID-19 (an acute respiratory illness) transmission.

The Home Health Agency (HHA) failed to review and identify the potential adverse effects or side effects of psychotropic (drugs that affect a person's mental health) medication, and provide instructions to the patient and or primary caregiver (PCG) for one of 7 sampled patients (5) who was high…

The Home Health Agency (HHA) failed to provide instruction regarding opened Humulin R insulin, which expires 30 days after it was opened for one of 7 sampled patients (4).

The HHA skilled nurse (SN) failed to ensure the Plan of Care (POC) was developed to calibrate the glucometer (device used to determine the approximate concentration of glucose in the blood) periodically as indicated in the Manual/User Guide for one of 7 sample patients (4).

The home health agency (HHA failed) to provide the services written in the individualized plan of care (POC) for one of seven patients ( Patient 6).

The home health agency failed to ensure that the individualized plan of care for one of seven sample patients (Patient 4) included nutritional requirements and fall precautions along with patient and caregiver education, to protect against injury.

The home health agency (HHA) failed to provide the patients a list of their medications and instructions for two of seven sampled patients ( Patient 5 and 6 ).

The home health agency (HHA) failed to provide a home exercise program (HEP) for one of seven patients (Patient 5) receiving physical therapy services.