A W Holdings LLC

The home health agency failed to ensure all staff followed standard precautions and agency policies/procedures for 2 of 3 home visit observations (Patients #2, 3).

The home health agency failed to re-educate staff when a breach in infection control procedures was reported for 1 of 1 record reviewed of a patient with a central line (Patient #2).

The home health agency failed to evidence documentation of an initial assessment visit for 2 of 3 active records reviewed of patients admitted in 2024 (Patients #2, #4).

The home health agency failed to evidence documentation of the discharge comprehensive assessment for 1 of 1 closed record review of a patient discharged due to caregiver request (Patient #6).

The home health agency failed to ensure the plan of care included all patient-specific interventions, for 5 of 5 complete active records reviewed (Patients #1, 2, 3, 4, 5).

The home health agency failed to ensure all care and services were provided according to physician orders for 2 of 5 active records reviewed (Patient #2, 5).

The home health agency failed to promptly alert the physician of changes in the patient’s condition for 2 of 2 active records reviewed which evidenced a change in patient condition (Patients #1, 2) and failed to notify the physician of its inability to provide services as ordered for 1 of 4 active…

The home health agency failed to coordinate care with all outside entities providing home health services to 1 of 1 active record reviewed of a patient receiving home health services from an outside entity (Patient #2).

The home health agency failed to supervise all HHAs to ensure the aide completed all tasks according to the aide care plan for 1 of 1 complete active record review of a patient receiving HHA services (Patient #4).

The agency failed to ensure all physician orders were executed in 1 of 5 active records reviewed (Patient #2).

The agency failed to ensure a drug interaction review completed included all medications listed on the plan of care, for 1 of 5 active records reviewed (#7).

The skilled nurse failed to ensure the comprehensive assessment included a complete cardiopulmonary assessment in 1 of 5 active records reviewed (Patient #2).

The agency failed to follow their policy and ensure all visit notes were received by the agency office within 7 days for 2 of 5 active records reviewed (Patients #1 and 7).

The agency failed to ensure the plan of care was followed for the ordered frequency/ duration of services and failed to ensure frequency of visits were not broad and specific to the patient's needs in 1 of 8 clinical records reviewed (#1).

The agency failed to ensure staff followed infection control policies and procedures for 1 of 3 home visit observations (patient # 8).

The agency failed to ensure all durable medical equipment used by the patient was included on the individualized plan of care for 1 of 8 records reviewed.

The agency failed to ensure extra nursing visits were provided only as ordered by the physician for 1 of 8 records reviewed.