Every finding on record at Angel Home Care Services Inc

During the recertification survey conducted on 1/26/2026 to 1/29/2026 at Angel Home Care Services Inc, a Home Health Agency, Emergency Preparedness was reviewed. Angel Home Care Services Inc is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

A recertification survey was completed on 1/26/2026 to 1/29/2026 at Angel Home Care Services Inc. The facility was not in compliance with Code of Federal Regulations (CFR) 42, Part 484.22, Requirements for Home Health Agencies.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on observation and interview, the home health agency registered nurse (RN), Staff D, failed to follow standard precautions during a home visit with Sample Patient (SP) #1. The findings include: During a home visit on 1/27/2026 at 9:04 AM, the surveyor observed that Staff D failed to sanitize a blood pressure cuff and pulse oximeter before taking SP #1's vital signs. The surveyor observed that Staff D failed to sanitize the blood pressure cuff and pulse oximeter before returning the equipment to her personal bag. The blood pressure cuff and pulse oximeter did not belong to SP #1. During an interview with the Staff D on 1/27/2026 at 9:18 AM, Staff D said that she usually cleans the equipment with wipes. During an interview with the Administrator, Alternate Administrator and Staff D on 1/28/2026 at 10:15 AM, the Alternate Administrator said it will be addressed.

During the recertification survey conducted on 06/26/2023 to 06/28/2023 at Angel Home Care Services, Inc., a Home Health Agency, Emergency Preparedness was reviewed. Angel Home Care Services, Inc is in compliance with Emergency Preparedness per Code of Federal (CFR) 42 Part 484.102, Condition of Participation for Home Health Agencies.

A recertification survey was conducted on 06/26/2023 to 06/28/2023 at Angel Home Care Services Inc. The home health agency was in non-compliance with 42 CFR 484 Subpart A-C, Requirements for Home Health Agencies.

Documentation of competency evaluation CFR(s): 484.80(c)(5) The HHA must maintain documentation which demonstrates that the requirements of this standard have been met. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of a Home Health Agency only after that individual has successfully completed a competency evaluation program for 4 out of 5 personnel file review. (Staff F, Staff G, Staff H and Staff J) Findings include: Personnel files review conducted on 06/28/23 revealed all are Home Health Aides and further review showed that Staff F, Staff G, Staff H and Staff J contained a titled document "Initial Competency Checklist" in their personnel files that omitted documentation distinguish between skills evaluated during patient care and those in a laboratory/office setting. Interview conducted with the Administrator on 06/28/23 between 2:05 PM and 2:20 PM stated that the initial competency evaluation was completed for Staff F, Staff G, Staff H and Staff J while the aides provided care to a patient. The Administrator confirmed that the form omitted documentation of the task observed by the Registered Nurse when completing the form.

Direct observation every 12 months CFR(s): 484.80(h)(1)(iii) A registered nurse or other appropriate skilled professional must make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to make an annual on-site visit to the location where a patient is receiving care to observe and assess each aide while he or she is performing care for 3 out of 5 employee record review. (Staff F, Staff H, and Staff I) Findings include: Review of personnel records conducted on 06/28/23 for Staff F, Staff H and Staff I each contained a titled document "Employee Evaluation". Further review of the documentations for Staff F, Staff H and Staff I omitted documentation of the evaluation being done onsite while the aide performed care to a patient. Interview conducted with the Administrator on 06/28/23 between 2:05 PM and 2:20 PM reviewed the documentation stated above and confirmed that the evaluations were done in the office and not while the staff provided care to a patient.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider is unable to demonstrate a completed discharge summary for 2 out of 7 Sampled Patients (SP). SP#6 and SP#7 Findings include: Closed record reviews of the SP#6 and SP#7 were conducted on 06/26/23 to 06/27/23. The SP#6 contained a discharge summary from the agency with a discharge date 06/19/23; and SP#7 contained a discharge summary from the agency with a discharge date 05/01/23. The discharge summaries for SP#6 and SP#7 omitted information such as listing the reason for admission to home health; omits the type of services provided and frequency of services; omits any Lab data (as applicable); and omits a complete summary of care/outcomes in meeting the goals in the Plan of Care. Interview was conducted with the Administrator and Alternate Administrator on 06/28/2023 at 3:15 PM. and acknowledged that the summaries for SP#6 and SP#7 were incomplete, missing the required notations as previously mentioned.