West Hawaii Home Health Svcs

This Condition is NOT MET as evidenced by: Based on medical record reviews, interviews, and policy and procedures it was determined that the HHA did not conduct an initial visit within the 48 hour timeframe from referral by a physician to determine interim needs and services to maintain patients'…

The HHA did not have a functioning governing body (GB) to ensure that a QAPI program was developed, implemented, evaluated, and that reflected all of the HHA services, (refer to G660).

The HHA must manage and administer services to provide optimal care for each patient's medical, nursing and rehabilitative needs, This Condition is NOT MET as evidenced by: The governing body (GB) did not meet or come to the agency for almost a year with last interaction with HHA staff on 02/23/19…

The agency did not have a QAPI program that included procedures for measurement and analysis of indicators through data in order to evaluate and change HHA procedure, policy or interventions.

The HHA did not have a functioning governing body for ongoing program quality improvement to ensure patient safety, and appropriately address any findings of fraud or waste.

The HHA did not have a functioning governing body for overall management, operations, and QAPI program to ensure patient safety, and appropriately address any findings of fraud or waste.

The HHA did not conduct initial assessment of patients within 48 hours of receiving a referral from physicians.

The HHA failed to conduct comprehensive assessments in developing and implementing the plan of care for two patients sampled whose conditions worsened and required emergency interventions.

The HHA administrators/owners/governing body were absent from the agency and last onsite 02/23/19. Finding Include: On 01/07/20 interviewed the clinic director (CD) and she stated that the administrators/owners resided in San Francisco and that they came to the HHA inconsistently, with the last…