Washington County HHA
Inspection 2018-03-07
· Complaint · 10 deficiencies · CMS source report (PDF)Staff interview the Home Health Agency (HHA) failed to assure nursing staff performed an initial comprehensive assessment; failed to complete the comprehensive assessment within 5 days of the start of care; failed to conduct a drug regimen review; and failed to assure qualified personnel conduct…
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Staff interview the Home Health Agency (HHA) failed to ensure staff followed a written plan of care (POC) developed/implemented and periodically reviewed by the physician for one of six sampled records reviewed (Patient #6).
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Staff interview the Home Health Agency (HHA) failed to ensure the registered nurse (RN) who is responsible for the supervision of the home health aide prepared written patient care instructions for one of six sampled medical records reviewed (Patient #6).
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The Home Health Agency (HHA) failed to provide the patient or patient's representative with a written notice of the patient rights in advance of furnishing care for one of six sampled records reviewed (Patient #6).
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Staff interview the Home Health Agency (HHA) failed to assure nursing staff performed an initial assessment to determine the immediate care and support needs of the patient for one of one HCBS (Home and Community Based Services) medical record of a patient receiving personal care services (Patient…
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Staff interview the Home Health Agency (HHA) failed to assure staff completed a comprehensive assessment that reflects the patient's current health status, information that may be used to demonstrate the patient's progress toward desired outcomes, and meet the patient's medical, nursing…
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The Home Health Agency (HHA) failed to conduct a drug regimen review for all medications the patient takes to identify any potential adverse effects and drug reactions, ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…
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The Home Health Agency (HHA) failed to assure qualified personnel conduct the follow-up comprehensive assessment within the last five days of every 60-day certification period for one of six sampled records reviewed (Patient #6).
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Staff interview the Home Health Agency failed to ensure the total plan of care (POC) is reviewed by the HHA staff and the physician at least once every 60 days for one of six sampled medical records reviewed (Patient #6).
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Staff interview the Home Health Agency (HHA) failed to assure a registered nurse (RN) conducted on-site supervisory visits for patients not receiving skilled services, every 60 days for one of one medical record reviewed (Patient #6) of patients receiving only Home and Community Based Services…
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