Vip Home Health Care Agency

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to assess the patient's continuing need for skilled nursing services for four of seven sampled patients (Patients 2, 3, 4, and 6).

The agency failed to ensure the Condition of Participation for Quality Assessment and Performance Improvement are met as follows: The home health agency failed to: 1. Provide documented evidence of a Quality Assessment and Performance Improvement (QAPI) program (G642).

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

The agency failed to maintain an accurate patient information in the encoded Outcome and Assessment Information Set (OASIS) data for two of seven patients (Patients 6 and 7).

The home health agency failed to provide documented evidence of a Quality Assessment and Performance Improvement (QAPI) program based upon identified or negative patient care outcomes, measurable indicators to evaluate changes in policy, procedure, and intervention.

The home health agency failed to provide documented evidence of performance improvement projects.

The Home Health Agency (HHA) failed to develop and implement policies and procedures regarding Coronavirus disease (COVID 19, a severe respiratory illness caused by virus and spread from person to person) infection mitigation plan.

The home health agency (HHA) failed to ensure the patient’s blood sugar level was checked every visit and failed to ensure the glucometer (blood sugar machine) used to check the blood sugar levels was calibrated (the act or process of marking a measuring instrument with the necessary graduations…

The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for four of seven sample patients (Patients 2, 3, 5, and 7).

The home health agency (HHA) failed to review all the medications, and clarified with the physician regarding the discrepancies for three of 7 patients (Patients 1 and 4).

The home health agency (HHA) failed to provide patient and caregiver education as indicated in the plan of care (POC) for 1 of 7 sampled patients (Patient 6).

The agency failed to ensure the Condition of Participation for Organization and Administration of Services was met as follows: The agency failed to provide services according to professional standards and principle when Skilled Nurse 1 did not administer Betaseron (a medication used to treat…

The Home Health Agency (HHA) failed to conduct an annual emergency preparedness training to employees, to ensure each employee is able to perform their duties in the event of an emergency or disaster.

The agency staff failed to implement a written plan of care (POC) when the licensed nurse did not asses a patient's pressure ulcer (also known as bedsore and an injury to the skin and underlying tissue resulting from prolonged pressure on the skin) completely and weekly for one of seven sampled…

The facility failed to ensure the Skilled Nurse (SN) changed gloves and washed or sanitized her hands after she touched the soiled dressing when performing a wound treatment for one of seven sampled patients (#5).

The home health agency failed to ensure the Registered Nurse (RN) coordinated and obtained a physician's treatment order for a pressure sore (also known as bedsore and an injury to the skin and underlying tissue resulting from prolonged pressure on the skin) of one of seven sampled patients…

The Home Health Agency (HHA) failed to notify the physician for one of 7 sample patients (Patient 5), when the licensed nurse had identified a Stage II (partial thickness skin loss due to pressure, which presents as a shallow open ulcer with red/pink wound bed) pressure ulcer on the patient's…

The HHA failed to ensure a patient /primary caregiver (PCG) was instructed regarding storage/labeling of opened insulin vial and administration multiple medications together via gastrostomy tube (GT- surgical creation of an opening into the stomach) for two of 7 sample patients (Patients 5, 6).

The agency failed to provide services according to professional standards and principle when Skilled Nurse 1 did not administer Betaseron (a medication used to treat relapsing [becomes worse after a period of improvement] forms of Multiple Sclerosis [disease that can affect the brain, spinal cord…