During the recertification and relicensure survey conducted on 02/16/2021 thru 02/18/2021 at Visiting nurses Association of Florida in Weeki Wachee Emergency Preparedness was reviewed. Visiting Nurse Association is in compliance with Emergency Preparedness per the Home Health Agency.
Every finding on record at Visiting Nurse Association of Florida Inc
Weeki Wachee, Florida · CCN 107609
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of February 18, 2021
3 findingsAn unannounced recertification survey was conducted on February 16, 2021 through February 18, 2021 in Weeki Wachee, FL. The Home Health Agency was not in compliance with 42 CFR 484 Subpart A-C, requirements for Home Health Agency.
HH aide training program topics CFR(s): 484.80(b)(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 information to patients, representatives, and caregivers, as well as to other HHA staff. (ii) Observation, reporting, and documentation of patient status and the care or service furnished. (iii) Reading and recording temperature, pulse, and respiration. (iv) Basic infection prevention and control procedures. (v) Basic elements of body functioning and changes in body function that must be reported to an aide's supervisor. (vi) Maintenance of a clean, safe, and healthy environment. (vii) Recognizing emergencies and the knowledge of instituting emergency procedures and their application. (viii) The physical, emotional, and developmental needs of and ways to work with the populations served by the HHA, including the need for respect for the patient, his or her privacy, and his or her property. (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; (xii) Adequate nutrition and fluid intake; (xiii) Recognizing and reporting changes in skin condition; and (xiv) Any other task that the HHA may choose to have an aide perform as permitted under state law. (xv) The HHA is responsible for training home health aides, as needed, for skills not covered in the basic checklist, as described in paragraph (b)(3)(ix) of this section. This ELEMENT is not met as evidenced by: Based on record review and interview the agency failed to ensure personnel had a Cardiopulmonary Resuscitation (CPR) certification that included an in person skills test from a qualified instructor for 1 (Staff D) of the 10 (Staff A, B, C, D, E, F, G, H, I, J) reviewed in the employee sample. Findings: Review of the employee records showed Staff D, Home Health Aide (HHA) did not have CPR certification which included an in-person skills test from a qualified instructor. During an interview conducted on 2/17/2021 at 11:30 AM, with the Chief Nursing Officer, who confirmed that Staff D, Home Health Aide (HHA) did not have CPR certification which included an in-person skills test from a qualified instructor. Review of the facility policy titled; Employment Procedures showed: Policy The agency shall have a consistent process for the selection of all employees. No prospective employee shall be hired without a personal interview, presentation of appropriate credentials, background screening and licensure. 2. Appropriate documentation shall be submitted to the Agency for copying/verification and shall include: Proof of CPR course (only required for HHA/CNA).
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Federal survey findings only. State licensure findings for home health agencies are not shown.
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