Every finding on record at All Pointe Homecare, LLC

Unannounced visits were concluded on October 06, 2022, at All Pointe Homecare Llc. in Cheshire for the purpose of a complaint investigation. Standard-level deficiencies were identified.

Services by skilled professionals CFR(s): 484.75(a) Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under §484.115 and who practice according to the HHA's policies and procedures. This STANDARD is not met as evidenced by: Based on clinical record review, review of agency policies and interview with the agency personnel, for one of three patients (Patient #1) in the survey sample, the Licensed Practical Nurses (LPN) failed to follow standards of conduct in accordance with agency policies. The finding includes: Patient #1 had a start of care date of 11/04/21 and diagnoses that included chromosomal abnormality, cardiomegaly and epilepsy. The physician's orders for the certification period of 7/02/22 to 8/30/22 included nursing services eight to sixteen hours daily for assessments, gastrostomy management, medication administration, seizure precautions with monthly and as-needed nursing supervisory visits. The patient required total assistance with all activities of daily living, was non-verbal and non-ambulatory. Review of the agency documentation dated 8/10/22 with the Administrator on 8/15/22 identified the agency received a phone call on 8/10/2022 at approximately 9:00 AM from the parent of Patient #1 reporting that LPN #1 was videotaped on 8/08/22 and 8/09/22 inappropriately touching the sibling of Patient #1. The agency Administrator and the Clinical Manager visited the home on 8/10/22 to interview the family at 11:00 am. The parent reported that the sibling of the patient made reports that LPN #1 was hugging and kissing him/her and tucking him/her into bed at night, subsequently the parents placed a camera in the sibling’s room and viewed the recording on Wednesday 8/10/2022. The parents observed LPN #1 entering the sibling's bedroom on 8/09/22 and 8/10/22 (between the hours of 10 PM - 6 AM). LPN #1 was observed standing over the bed, where the sibling was laying uncovered in the fetal position. LPN #1 was then observed to touch the perineum area over the sibling’s underwear, with contact lasting approximately 8-10 seconds. LPN #1 then exited the room and returned later, and s/he again touched the sibling inappropriately. This time, the sibling awakened, and LPN #1 assisted in repositioning and pulled the covers over, rubbed his/her legs and then exited the room. Interview with the agency Administrator on 8/15/22 at 11 AM identified that LPN #1 was immediately suspended pending the complete investigation and failed to follow agency policy for employee standards of conduct. Review of agency policy for employee standards of conduct directed that employees are expected to adhere to the standards of respect for employees, clients, families and other individuals at all times. Any form of hostility, verbal or physical harm or intimidation will result in immediate termination.