Every finding on record at Favorite Home Health Care LLC

An Emergency Preparedness Survey was initiated on 10/04/2024 at 8:30 AM. Census: Licensed and Certified- 1 Licensed Home Health- 0 Personal Assistance Services- 52 No deficiencies were cited.

A Recertification Survey was initiated on 10/04/2024 at 8:30 AM. Census: Licensed and Certified- 1 Licensed Home Health- 0 Personal Assistance Services- 52 Abbreviations: DON- Director of Nurses Hha- home health aide

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 agency failed to ensure documentation of the performance of tasks listed at 484.80(b)(3)(i), (iii), (ix), (x) and (xi) were evaluated by observation for 1 (hha D) of 1 home health aide employed by the agency. No evidence of documentation was found for observed skills competencies completed. This failure potentially placed patients who received hha services at risk for receiving substandard or unsafe care when competency could not be verified. FINDINGS INCLUDE: According to the federal regulations for home health agencies: [§484.80(b) Standard: Content and duration of home health aide classroom and supervised practical training.] (3) A home health aide training program must address each of the following subject areas: (i) Communication skills, including the ability to read, write, and verbally report clinical (iii) Reading and recording temperature, pulse, and respiration. (ix) Appropriate and safe techniques in performing personal hygiene and grooming tasks that include— (A) Bed bath; (B) Sponge, tub, and shower bath; (C) Hair shampooing in sink, tub, and bed; (D) Nail and skin care; (E) Oral hygiene; (F) Toileting and elimination; (x) Safe transfer techniques and ambulation; (xi) Normal range of motion and positioning; Hha, D: Review of the personnel record for hha D revealed an application for employment for the position of “Attendant” with a hire date of 05/30/2018. A completed form titled, “Home Health Aide Competency Evaluation- Written Exam” was dated 04/28/2023. No observed skills competency verification was found in the record for hha D. In an interview with the Administrator/DON on 10/08/2024 at 1:00 PM, the surveyor reviewed the findings and asked if the agency employed any other Hha’s. The Administrator/DON stated they only had one, hha, D and she was first hired as an attendant and later received her aide certification in April 2023. The surveyor asked why there was no documentation to verify completion of observed skills competencies for hha D. The Administrator/DON stated hha, D had completed the written hha competency exam and the skills competency on the same day, 04/28/2023. The Administrator stated, “I know she did it (skills competency), I did it with her, but I just can’t find the documentation.” The surveyor and Administrator/DON reviewed the agency policy for hha competency. The Administrator/DON stated she understood and didn’t know what happened.