V M H Comunity & Home Care

The agency failed to ensure training in emergency preparedness to all existing staff for 1 of 5 sampled staff (Staff F, Registered Nurse).

The agency failed to transmit accurate Outcome Assessment and Information Set (OASIS) date items collected with the comprehensive assessment for 1 of 1 sampled patients (Patient #2) with a wound.

The agency failed to ensure the home health aides successfully completed competencies in home health aide skills that exceed basic skills, which require a registered nurse, or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the aide by…

The agency failed to ensure the registered nurse (RN) developed home health aide (HHA) instructions for patient care that were specific and individualized to the patient’s needs for 1 of 3 sampled patient receiving HHA services (Patient #5).

The agency failed to ensure authentication of entries made in each patient's clinical record included the employee's title, date and was locked within the required time frame for 5 of 7 sampled patients (Patients #2, #4, #5, #6 and #7).

The agency failed to ensure agency staff advised patients of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to ensure completion of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 1 of 4 sampled patients requiring a recertification assessment (Patient #6).

The agency failed to ensure completion of the update of the comprehensive assessment at discharge within 2 calendar days of identification of the need to discharge a patient for 1 of 2 sampled patients requiring a discharge comprehensive assessment (Patient #6).

The agency failed to ensure accurate completion of all components comprising the plan of care (POC), including all medical supplies/equipment and all medication for used by the patient for 1 of 3 home visits (Patient #2).

The agency failed to update the Plan of Care with all new physician orders for 1 of 3 sampled patients with interim therapy orders.

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 3 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patient #6).

The agency failed to complete a drug regimen review with each comprehensive assessment within the allowed time frames for 1 of 2 sampled patients with resumption of care visits (Patient #7) and 1 of 2 sampled discharged patients (Patient #6).

The agency failed to ensure completion of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care comprehensive assessment (Patient #7).

The home health agency failed to ensure the clinical record included a copy of an individualized emergency plan developed as part of the comprehensive assessment and/or failed to ensure each patient received a copy of the individualized emergency plan to keep in the home for 7 of 7 sampled patients…

The agency failed to ensure the policy included the development of a procedure to inform State and local officials specifically of homebound patients in need of evacuation due to an emergency situation.

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to identify medication discrepancies at the time of the drug regimen review for 1 of 3 sampled patients receiving a home visit as part of the survey (Patient #2).

The agency failed to ensure accurate completion of all pertinent components of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 2 of 2 sampled patients requiring a resumption of care assessment (Patients #2 and #5).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including a description of the patient's risk for emergency department visits and hospital readmissions with any necessary interventions to address the underlying risk factors for 5 of 7 sampled…

The agency failed to update the Plan of Care with all new physician orders in a timely manner for 6 of 6 sampled patients with interim/verbal orders.

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 2 of 2 sampled patients (Patients #2…