Every finding on record at Total Home Health Care, LLC

The entity is in compliance with the federal emergency preparedness requirements.

Recertification Survey.

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, record review, and interview, the agency failed to ensure the home health aide (HHA) followed standards of practice for infection control while performing a bed bath for 1 (Patient #2) of 1 (Patient #2) sampled patients observed for care and services by the HHA. Findings: Review of Patient #2’s Home Health Certification and Plan of Care for certification period of 11/01/2023 to 12/30/2023 revealed, in part, home health aide to assist with partial/complete bed bath every visit. Observation on 01/09/2024 at 12:07 p.m. revealed S3HHA was providing a bed bath to Patient #2. Observation revealed S3HHA cleaned Patient #2’s peri area and between the folds of her labia with soap and water then used the same towel to clean Patient #2’s left leg. S3HHA then placed the towel with the soiled linen and changed her gloves. Observation revealed S3HHA then proceeded to turn Patient #2 and clean Patient #2’s buttock of feces with a disposable wipe, then use a towel to clean Patient #2’s buttock, rinse the towel in the wash basin, and use the same towel to wash Patient #2’s back and right lower leg. In an interview on 01/09/2024 at 1:30 p.m., S1Administrator/Director of Nursing (DON) stated S3HHA should have followed infection control practices which included cleaning Patient #2’s peri area last, and should have disposed of the towel and water after the towel was used in the peri area and buttock. In an interview on 01/09/2024 at 1:31 p.m., S2Alternate Administrator/DON stated S3HHA did not follow infection control practices and should not have used the towel for any part of the body after using the towel to clean the peri area and buttock. In an interview on 01/09/2024 at 3:21 p.m., S3HHA stated she thought she had discarded the first towel appropriately but did not change the water she had put the soiled towel into. S3HHA further stated she had limited linen and did not follow the normal procedure for bed bath to ensure infection control was maintained.