We Care Home Health Services

The facility failed to have all their staff trained and participate in the emergency preparedness training and testing program.

The facility failed to have all their staff trained and participate in the emergency preparedness training and testing program.

The agency failed to maintain a minimum compliance rate of less than 10% late submissions.

The agency failed to ensure skilled nursing visits were conducted as ordered by a physician for 1 of 7 patients (Patient #1).

The agency failed to ensure a Registered Nurse (RN) used proper treatment bag technique for 1 of 7 patients (Patient #5) and a RN was using a penlet for blood glucose testing for each patient who needed glucose monitoring.

The agency failed to ensure OASIS assessments were authenticated for 4 of 7 patients (Patient #1, #2, #3 and #5).

The facility failed to confirm if their social worker was qualified for their position for 1 of 1 Social Worker (Social Worker 1).

The agency failed to ensure all medications were included on the medication profile for 2 of 7 patients (Patient #2 and #3).

The agency failed to ensure physical therapy visits were conducted only as ordered for 1 of 7 patients (Patient #1).

The assessment was not completed.

The Administrator explained the Emergency Operations Plan and Policy did not document a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation.

The agency failed to develop and implement policies which addressed individual plans for each patient during a natural or man-made disaster.

The document did not include procedures which incorporated a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The agency failed to develop and implement procedures to address the use of volunteers and emergency staffing in an emergency.

The agency failed to develop an Emergency Preparedness Communication Plan that addressed contact information for Federal, State, Tribal, regional, local Emergency Preparedness Officials and other sources of assistance.

The administrator was not able to produce documented evidence employees had received training per the policy.

The agency failed to provide emergency preparedness training to all employed and staff under contract which included documented initial and annual training.

The agency failed to conduct exercises to test the Emergency Plan.

The agency failed to ensure professional staff notified the physician or leadership of missed visits and the accurately documented why visits were missed for 2 of 7 sampled patients (Patients #2 & #4).

The agency failed to ensure verbal information regarding end of life care preferences and the formulation of Advanced Directives were provided to 2 of 7 sampled patients (Patient #2 and #6).

The agency failed to ensure a Home Health Change of Care Notice was used as indicated for 1 of 7 sampled patients (Patient #2).

The Agency failed to ensure the Plan of Care (POC) included Advance Directive information for 2 of 7 sampled patients (Patient #2 and #6).

The agency failed to alert the Medical Director of an unresponsive Physician for 1 of 7 sampled patients (Patient #5).

The agency failed to ensure Medical Social Services were appropriately performed and documented in a timely manner in regard to the coordination of care for 1 of 7 sampled patients (Patient #4).

The agency did not keep an up-to-date list of medications for 3 of 7 sampled patients (Patients #1, #2, and #3).