West Coast Home Health

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the emergency preparedness communication plan included the updated name and contact information of the staff, entities provided services under agreement, patients' physician, and volunteers.

The agency failed to ensure the care and services were provided as ordered for four of nine sampled patients (Patients 2, 3, 5 and 8), creating the risk of not providing appropriate, consistent, and quality of care to these patients.

The agency failed to include the data collected in monitoring the effectiveness and safety of services and quality of care; and identify opportunities for improvement, creating the risk of not providing quality of care to the patients.

The agency failed to ensure the initial assessments were conducted within 48 hours after referral for three of nine sampled patients (Patients 2, 5, and 8), creating the risk of not providing the necessary care and services timely to these patients.

The agency failed to ensure the initial comprehensive assessment was completed accurately and consistently with the patient's immediate needs for one of nine sampled patients (Patient 6).

The agency failed to ensure the medication profile was updated to reflect the current medications for one of nine sampled patients (Patient 1).

The agency failed to ensure the comprehensive assessment was updated within the last five days of every 60 days for one of nine sampled patients (Patient 2), creating the increased risk of not addressing the care needs for this patient.

The agency failed to ensure the POCs included specific information related to all pertinent diagnoses, patient - specific interventions, measurable outcomes and goals identified for nine of nine sampled patients (Patients 1, 2, 3, 4, 5, 6, 7, 8, and 9), creating the risk of not addressing the care…

The agency failed to ensure the coordination of care for three of nine sampled patients (Patients 2, 8, and 9), creating the risk of not providing necessary care and services to these patients.

The agency failed to provide the written instructions on the SN visit schedule for one of nine sampled patients (Patient 1), creating the risk of not providing the necessary information to this patient.

The agency failed to ensure the SN provided care and services in accordance with the POC for three of nine sampled patients (Patients 1, 4, and 9), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled staff prepared the accurate and complete clinical notes for seven of nine sampled patients (Patients 1, 2, 3, 4, 5, 7, and 9), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the responsibility for the day-to-day operations by not implementing the agency's P&P as evidenced by: * The agency failed to have the written agreements with Contractor 1 providing PT and OT services and failed to have a contracted provider to provide ST services as per…

The HHA failed to send the completed discharge and transfer summaries within five days from the discharge order for seven of nine sampled patients (Patients 3, 4, 5, 6, 7, 8, and 9) to their primary care physicians.