Visiting Nurses of Nevada, Inc

The HHA’s software program did not include the correct time on entries of records for two of seven sampled patients (Patient(P)1 and 2).

The Home Health Agency (HHA) failed to complete an in-person on-site home health aide supervisory visit every 14 days for one of one patient (Patient (P) 4) reviewed for home health aide services out of a total sample of seven.

The agency failed to establish a program capable of showing measurable improvement in indicators for which there was evidence that improvement in those indicators would improve health outcomes; failed to utilize quality indicator data, including measures derived from Outcome and Assessment…

The agency failed to ensure patients received care according to the individualized plan of care for 4 of 7 sampled patients (Patients #2, #3, #5 and #7).

The agency failed to collect data to monitor the effectiveness and safety of services and quality of care and identify opportunities for improvement.

The agency failed to track adverse patient events, analyze their causes, and implement preventive actions.

The agency failed to conduct performance improvement projects.

The agency did not furnish patients with the correct state toll free home health telephone line and hours of operation with a statement the number's purpose was to receive complaints or questions in regards to home health agencies for 3 of 7 sampled patients (Patients #1, #5 and #6).

The agency failed to conduct performance improvement activities leading to an immediate correction of an identified problem.

The agency failed to implement actions aimed at performance improvement and failed to track performance to ensure improvements were sustained.

The agency failed to provide services ordered by the physician according to the individualized plan of care for 4 of 7 sampled patients (Patients #2, #3, #5 and #7).

The agency failed ensure pressure ulcer measurements were accurately documented for 1 of 7 sampled patients (Patient #7).