QA Investigation Results

Pennsylvania Department of Health
ARCADIA HOME CARE & STAFFING
Health Inspection Results
ARCADIA HOME CARE & STAFFING
Health Inspection Results For:


There are  4 surveys for this facility. Please select a date to view the survey results.

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Initial Comments:


Based on the findings of an onsite unannounced complaint investigation survey conducted on 10/4/2018 and completed on 10/5/2018, Cambria County Homemakers 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 revisit and a complaint investigation survey conducted 10/04/2018 and completed on 10/05/2018, Cambria County Home Makers was found not to be in compliance with the following requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart H, Chapter 611, Home Care Agencies and Home Care Registries.




Plan of Correction:




611.57(a) LICENSURE
Consumer Rights

Name - Component - 00
(a) The consumer of home care services provided by a home care agency or through a home care registry shall have the following rights: (1) To be involved in the service planning process and to receive services with reasonable accommodation of individual needs and preferences, except where the health and safety of the direct care worker is at risk. (2) To receive at least 10 calendar days advance written notice of the intent of the home care agency or home care registry to terminate services. Less than 10 days advance written notice may be provided in the event the consumer has failed to pay for services, despite notice, and the consumer is more than 14 days in arrears, or if the health and welfare of the direct care worker is at risk.

Observations:


Based on a review of the agency policy, consumer records (CR) and staff (EMP) interview, the agency failed to involve the consumer in the service planning process and to receive services with reasonable accommodation of individual needs and preferences for five (5) of five (5) CR reviewed (CR1-CR5).

Findings include:

A review of the agency's policy on 10/4/2018 at approximately 9:35 PM revealed: "Consumer Guidelines...Consumers have the right to be involved in the service planning process and to receive their services within a reasonable accommodation of their needs and preferences, as long as their services are in line with the Services Authorization provided by the consumer's case manager...The consumer's consent to their initial schedule and services (as well as any and all changes) will be documented on the Supplemental Care Plan..."

Review of CR1, start of care date 10/5/2017, on 10/4/2018 at approximately 11:58 AM revealed, A "Service Order Form" from the county area agency on aging under section "SERVICE ORDERS Frequency 9.5 Hours/Week...Effective Start Date 10/5/2017." Review of the agency document "Patient Schedule Master Listing" days of services Monday and Thursday 10:00AM-01:00 PM and Fridays from 10:00 AM-01:30 PM. Frequency is weekly with a schedule start date as of 2/26/2018. There was no documentation within CR1 to confirm that the agency involved or confirmed with the consumer of the days and times that services would be provided.

Review of CR2, start of care date 10/17/2017, on 10/4/2018 at approximately 12:15 PM revealed, a "Service Order Form" from the county area agency on aging under section SERVICE ORDERS Personal Care, Frequency 1 X Week Hours per Visit 1.0, Personal Care, Frequency 1 X Week, Hours per Visit 2.0, Effective Start Date 10/17/17." Review of the Review of the agency document "Patient Schedule Master Listing" days of services Wednesday 10:00AM-11:00 AM and Fridays from 10:00 AM-12:00 PM. Frequency is weekly with a schedule start date as of 2/26/2018. There was no documentation within CR that the agency involved or confirmed with the consumer the days and times that services would be provided.

Review of CR3, start of care date 10/26/2017, on 10/4/2018 at approximately 12:28 PM revealed, a "Service Order Form" from the county area agency on aging under section "SERVICE ORDERS Frequency 2X/WK Hours per visit 1-2hr visit, 1-1hr visit, dated 10/24/17. Review of the agency document "Patient Schedule Master Listing" days of services were Tuesday and Wednesday 4:30 PM-6:00 PM. Frequency is weekly with a schedule start date as of 2/26/2018. There was no documentation within CR to confirm that the agency involved the consumer of the days and times that services would be provided.

Review of CR4, start of care date 9/22/2017, on 10/4/2018 at approximately 12:40 PM revealed, a "Service Order Form" from the county area agency on aging under section "SERVICE ORDERS, Services Personal Care 4 Hours/Week...Effective Start Date 9/1/2017 and Service Home Support Frequency 4 Hours/Week ...Effective Start Date 9/1/2017. Review of the agency document "Patient Schedule Master Listing" days of services for Home Support Services were Monday and Thursday 4:00 PM - 6:00PM. Days of services for Personal Care were Monday and Thursday 12:00 PM -2:00 PM. Frequency is weekly with a schedule start date as of 2/26/2018. There was no documentation within CR to confirm that the agency involved the consumer of the days and times that services would be provided.

Review of CR5, start of care date 9/29/2017, on 10/4/2018 at approximately 1:15 PM revealed, a "Service Order Form" from the county area agency on aging. Listed under section "SERVICE ORDERS Frequency 6 Hours/Week, Hours Per Visit 2 HRS PER, Effective Start Date 9/5/2017. Review of the "Patient Schedule Master Listing" days of services for Home Support Services were Monday and Thursday 4:00 PM - 6:00PM. Days of services for Personal Care were Monday, Wednesday and Friday 11:00 AM-1:00 PM. Frequency is weekly with a schedule start date as of 11/13/2017. There was no documentation within CR1 to confirm that the agency involved the consumer of the days and times that services would be provided.

During a staff interview on 10/4/2018 at approximately 12:55 PM (EMP2) confirmed that the consumers scheduled was mailed with the hours days and what direct care worker was providing services. The surveyor asked if the agency had the initial schedule that was sent to the consumer. (EMP2) confirmed the agency did not have the original consumer schedules available.

An interview with the assistant zone coordinator and supervisor of care on 10/4/2018 at approximately 1:41 PM confirmed the above findings.











Plan of Correction:

Our agency has created a Patient Care Item Training Manual. The manual documents the importance of ensuring that the Consumer is involved in the service planning process and will receive services with reasonable accommodation of the individual needs and preferences, except where the health and safety of the direct care worker is at risk. Office staff will be given a copy of the Training Manual and will signed a memo stating that they understand and will comply with the new requirements. The Care Item Sheet now includes the Consumer's schedule, the services that will be provided and the name of the Personal Care Aide that will be providing the services. The Care Item Sheet will be provided to the Consumer during the Consumer's Meet and Greet, prior to services beginning. A copy will be given to the Consumer for them to keep and a copy will be signed by the Consumer to show that the Consumer is aware and has been involved in the service plan, to be kept in the Consumer's file. The office will be sending out a Patient Care Item Sheet to each active Consumer and will obtain a copy of the Care Item Sheet with the Consumer's signature for the Consumer's file. The Assistant Director of Training and Compliance will receive a scanned copy of each Care item sheet to assure this has been completed. Going forward, the Assistant Zone Coordinator and/or Zone Coordinator will review new Consumer Meet and Greet packets to ensure the office is following this protocol.


611.57(c) LICENSURE
Information to be Provided

Name - Component - 00
(c) Prior to the commencement of services, the home care agency or home care registry shall provide to the consumer, the consumer's legal representative or responsible family member an information packet containing the following information in a form that is easily read and understood: (1) A listing of the available home care services that will be provided to the consumer by the direct care worker and the identity of the direct care worker who will provide the services. (2) The hours when those services will be provided. (3) Fees and total costs for those services on an hourly or weekly basis. (4) Who to contact at the Department for information about licensure requirements for a home care agency or home care registry and for compliance information about a particular home care agency or home care registry. (5) The Department's complaint Hot Line (1-800-254-5164) and the telephone number of the Ombudsman Program located with the local Area Agency on Aging (AAA). (6) The hiring and competency requirements applicable to direct care workers employed by the home care agency or referred by the home care registry. (7) A disclosure, in a format to be published by the Department in the Pennsylvania Bulletin by February 10, 2010, addressing the employee or independent contractor status of the direct care worker providing services to the consumer, and the resultant respective tax and insurance obligations and other responsibilities of the consumer and the home care agency or home care registry.

Observations:


Based on a review of agency policy, consumer records (CR) and staff (EMP) interview, the agency failed to provide required information in writing to consumers/consumer representatives prior to the commencement of services for five (5) of five (5) CRs reviewed (CR1-CR5).

Findings included:

A review of the agency's policy on 10/4/2018 at approximately 9:35 PM revealed: "Consumer Guidelines...The consumer's consent to their initial schedule and services (as well as any and all changes) will be documented on the Supplemental Care Plan..."

A review of CR1 on 10/4/2018 at approximately 11:58 AM revealed start of services 10/5/2017. No documentation was made available to confirm the consumer/consumer representative was provided an information packet containing the following:
1. The identity of the direct care worker who would provide services.
2. The hours when services would be provided.

A review of CR2 on 10/4/2018 at approximately 12:15 PM revealed start of services 10/17/17. No documentation was made available to confirm the consumer/consumer representative was provided an information packet containing the following:
1. The identity of the direct care worker who would provide services.
2. The hours when services would be provided.

A review of CR3 on 10/4/2018 at approximately 12:28 PM revealed start of services 10/26/2017. No documentation was made available to confirm the consumer/consumer representative was provided an information packet containing the following:
1. The identity of the direct care worker who would provide services.
2. The hours when services would be provided.

A review of CR4 on 10/4/2018 at approximately 12:40 PM revealed start of services 9/22/2017. No documentation was made available to confirm the consumer/consumer representative was provided an information packet containing the following:
1. The identity of the direct care worker who would provide services.
2. The hours when services would be provided.

A review of CR5 on 10/4/2018 at approximately revealed start of services 10/5/2017. No documentation was made available to confirm the consumer/consumer representative was provided an information packet containing the following:
1. The identity of the direct care worker who would provide services.
2. The hours when services would be provided.

An interview with the assistant zone coordinator and supervisor of care on 10/4/2018 at approximately 1:41 PM confirmed the above findings.








Plan of Correction:

Our agency has created a Patient Care Item Training Manual. Office staff will be given a copy of the Training Manual and will sign a memo stating that they understand and will comply with the new requirements. The Care Item Sheet now includes the Consumer's schedule, the services that will be provided and the name of the Personal Care Aide that will be providing the services. The Care Item Sheet will be taken to the Meet and Greet prior to services beginning. A copy will be given to the Consumer for them to keep and a copy will be signed by the Consumer to show that the Consumer is aware and has been involved in the service plan, to be kept in the Consumer's file. The office will be sending out a Patient Care Item Sheet to each active Consumer and will obtain a copy of the Care Item Sheet with the Consumer's signature for the Consumer's file. The Assistant Director of Training and Compliance will receive a scanned copy of each Care item sheet to assure this has been completed. Going forward, the Assistant Zone Coordinator and/or Zone Coordinator will review new Consumer Meet and Greet packets to ensure the office is following this protocol.




Initial Comments:


Based on the findings of an onsite unannounced complaint investigation survey conducted 10/4/2018 and completed on 10/5/2018, Cambria County Homemakers was found to be in compliance with the requirements of 35 P.S. 448.809 (b).





Plan of Correction: