QA Investigation Results

Pennsylvania Department of Health
AMERIBEST HOME CARE INC.
Health Inspection Results
AMERIBEST HOME CARE INC.
Health Inspection Results For:


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Initial Comments:


Based on the findings of an onsite unannounced Medicare recertification survey conducted March 13, 2019 through March 14, 2019, Ameribest Home Care Inc., was identified to have the following standard level deficiencies that were determined to be in compliance with the following requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.










Plan of Correction:




484.80(b)(1) ELEMENT
Classroom and supervised practical training

Name - Component - 00
Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct supervision of a registered nurse, or a licensed practical nurse who is under the supervision of a registered nurse. Classroom and supervised practical training must total at least 75 hours.

Observations:



Based on personnel file reviews, agency policy, and Assistant Administrator interview, is was determined that the agency failed to determine that the Home Health Aide was able to demonstrate practical competency skills, and that the agency failed to administer a minimum of 16 hours of supervised practical training to combine a total of at least 75 hours, for two, (2), of eight Personnel Files, (PF), reviewed. (PF # 7, and 8).

Findings include:

A review of agency policy was conducted on March 15, 2019 at 3:00 PM.
Policy No. 1-012.1, "Home Health Aide Training" states: Criteria 1. A home health aide training program must include a minimum of 75 hours of a combination of classromm and supervised practical training. The training program must contain at least 16 hours of supervised practical training..."

1. On March 14, 2019 at approximately 2:45 p.m. Reviewed of PF #7, revealed a date of hire on June 13, 2013. Review of PF's initial competency examination revealed a completion on June 13, 2013. There was no evidence that 16 hours of supervised practical training in a practicum laboratory, or other setting was included within the 75 hours of required Home Health Aide training.

2. On March 14, 2019 at approximately 3:00 p.m. Reviewed of PF #8, revealed a date of hire on February 27, 2015. Review of PF #8 initial competency examination revealed a completion on February 27, 2015. There was no evidence that 16 hours of supervised practical training in a practicum laboratory, or other setting was included within the 75 hours of required Home Health Aide training.

In an interview with the Assistant Adminsitrator/Director of Nurses, and Human Resources Director, on March 14, 2019 at approximately 3:10 p.m., it was confirmed that the agency had failed to determine that the Home Health Aide was able to demonstrate practical competency skills, and failed administer 16 hours of practical training to combine a total of at least 75 hours.





































Plan of Correction:

The Clinical director, or designee will ensure that all home health aides receive training in accordance to our home health aide training policy. Also, as stated in our Policy No. 1-012.3 #7. AmeriBest Home Care, Inc. may offer a competency program in lieu of the formal training program. This program, designed to prepare home health aides to pass the competency evaluation, will not be subjected to the 75-hour requirement.
Moving forward the clinical director, human resource director, or designee will ensure that all HHA receive 75 hours of required training, a combination of classroom which includes 16 hours of supervised practical training by a registered nurse, licensed practical nurse/licensed vocational nurse.
Clinical, human resources, or designee will ensure that each hha receive the required 12 hours of in-service training during each 12-month period.
Human resources, or designee will keep track of home health aide initial training hours and annual in-service hours to ensure that home health aide training requirements are met upon hire, yearly, and prior to assigning the hha to a patient.
Home health aide personnel files will be reviewed by human resources for compliance.





484.80(d) STANDARD
12 hours inservice every 12 months

Name - Component - 00
Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient.

Observations:


Based on personnel file reviews, and Assistant Administrator, is was determined that the agency failed to administer at least 12 hours of in-services to the Home Health Aides for two, (2), of eight Personnel Files, (PF), reviewed. (PF # 7, and 8).

Findings include:

1. On March 14, 2019 at approximately 2:45 p.m. Reviewed of PF #7, revealed a date of hire on June 13, 2013. There was no evidence that 12 hours of inservices had been conducted with PF #7 during the year of 2016, 2017, and 2018.

2. On March 14, 2019 at approximately 3:00 p.m. Reviewed of PF #8, revealed a date of hire on February 27, 2015. There was no evidence that 12 hours of inservices had been conducted with PF #7 during the year of 2016, 2017, and 2018.

In an interview with the Assistant Administrator/Director of Nurses, and Human Resources Director, on March 14, 2019 at approximately 3:10 p.m., it was confirmed that the agency had failed to conduct annual inservices with the Home Health Aides for year 2016, 2017, and 2018. (The Administrator had a family medical emergency and was not present.)



































Plan of Correction:

The Clinical director, or designee will ensure that all home health aides receive training in accordance to our home health aide training policy. Also, as stated in our Policy No. 1-012.3 #7. AmeriBest Home Care, Inc. may offer a competency program in lieu of the formal training program. This program, designed to prepare home health aides to pass the competency evaluation, will not be subjected to the 75-hour requirement.
Moving forward the clinical director, human resource director, or designee will ensure that all HHA receive 75 hours of required training, a combination of classroom which includes 16 hours of supervised practical training by a registered nurse, licensed practical nurse/licensed vocational nurse.
Clinical, human resources, or designee will ensure that each hha receive the required 12 hours of in-service training during each 12-month period.
Human resources, or designee will keep track of home health aide initial training hours and annual in-service hours to ensure that home health aide training requirements are met upon hire, yearly, and prior to assigning the hha to a patient.
Home health aide personnel files will be reviewed by human resources for compliance.



Initial Comments:


Based on the findings of an onsite unannounced medicare recertification and state relicensure survey from March 13, 2019 through March 14, 2019, Ameribest Home Care Inc., was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.







Plan of Correction:




Initial Comments:




Based on the findings of an unannounced onsite state re-licensure survey conducted March 13, 2019 through March 14, 2019, Ameribest Home Care Inc. was found not to be in compliance with the requirements of 28 Pa. Code, Part IV, Health facilities, Subpart G. Chapter 601.



Plan of Correction:




601.3 REQUIREMENT
COMPLIANCE W/ FED, ST, & LOCAL LAWS

Name - Component - 00
601.3 COMPLIANCE WITH FEDERAL,
STATE AND LOCAL LAWS.
The home health agency and its staff
are in compliance with all applicable
Federal, State and Local Laws and
regulations.

Observations:


Based on Administration interviews, agency policy, and personnel file reviews, it was determined that the home health agency and its staff failed maintain compliance with Federal, State and Local Laws regarding content and duration of Home Health Aide classroom training, and in-service training, for two, (2), of eight, (8) Home Health Aide personnel files, (PF), reviewed. (PF #7 and 8).

Findings include:

Conditions of Participation for Home Health Agencies, Subpart A-General Provisions.
(484.80(b)(1) Standard: Content and duration of Home Health Aide classroom and supervised practical training. "A Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual.....".
484.80 (d) Standard: In-service training. "A home Health aide must receive at least 12 hours of inservice during each 12 month period.

A review of agency policy was conducted on March 15, 2019 at 3:00 PM.
Policy No. 1-012.1, "Home Health Aide Training" states: Criteria 1. A home health aide training program must include a minimum of 75 hours of a combination of classromm and supervised practical training. The training program must contain at least 16 hours of supervised practical training..."


1. On March 14, 2019 at approximately 2:45 p.m. Reviewed of PF #7, revealed a date of hire on June 13, 2013. Review of PF's initial competency examination revealed a completion on June 13, 2013. There was no evidence that 16 hours of supervised practical training in a practicum laboratory, or other setting was included within the 75 hours of required Home Health Aide training. There was no evidence that 12 hours of inservices had been conducted with PF #7 during the year of 2016, 2017, and 2018.

2. On March 14, 2019 at approximately 3:00 p.m. Reviewed of PF #8, revealed a date of hire on February 27, 2015. Review of PF #8 initial competency examination revealed a completion on February 27, 2015. There was no evidence that 16 hours of supervised practical training in a practicum laboratory, or other setting was included within the 75 hours of required Home Health Aide training. There was no evidence that 12 hours of inservices had been conducted with PF #7 during the year of 2016, 2017, and 2018.

In an interview with the Assistant Adminsitrator/Director of Nurses, and Human Resources Director, on March 14, 2019 at approximately 3:10 p.m., it was confirmed that the agency had failed to determine that the Home Health Aide was able to demonstrate practical competency skills, and failed to administer 16 hours of practical training to combine a total of at least 75 hours. It was also confirmed that 12 hours of inservices had not been conducted with employees during the year 2016, 2017, and 2018.

















Plan of Correction:

The Clinical director, or designee will ensure that all home health aides receive training in accordance to our home health aide training policy. Also, as stated in our Policy No. 1-012.3 #7. AmeriBest Home Care, Inc. may offer a competency program in lieu of the formal training program. This program, designed to prepare home health aides to pass the competency evaluation, will not be subjected to the 75-hour requirement.
Moving forward the clinical director, human resource director, or designee will ensure that all HHA receive 75 hours of required training, a combination of classroom which includes 16 hours of supervised practical training by a registered nurse, licensed practical nurse/licensed vocational nurse.
Clinical, human resources, or designee will ensure that each hha receive the required 12 hours of in-service training during each 12-month period.
Human resources, or designee will keep track of home health aide initial training hours and annual in-service hours to ensure that home health aide training requirements are met upon hire, yearly, and prior to assigning the hha to a patient.
Home health aide personnel files will be reviewed by human resources for compliance.




Initial Comments:


Based on the findings of an onsite unannounced medicare recertification and state relicensure survey from March 13, 2019 through March 14, 2019, Ameribest Home Care Inc., was found to be in compliance with the requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51.






Plan of Correction:




Initial Comments:


Based on the findings of an onsite unannounced medicare recertification and state relicensure survey from March 13, 2019 through March 14, 2019, Ameribest Home Care Inc., was found to be in compliance with the requirements of 35 P.S. 448.809 (b).





Plan of Correction: