Adoration Home Health

The agency failed to ensure the staff followed the policy for Hand Hygiene, Dressing change for Peripherally Inserted Central Catheters (PICC), and Cleaning of Re-Useable Equipment.

The agency failed to ensure medications were reconciled each Skilled Nurse (SN) visit per agency policy.

The agency failed to ensure the staff notified the physician of any significant changes in measurement of the length of the peripherally inserted central catheter (PICC) as this may indicate migration of catheter, per agency policy.

The agency failed to perform an exercise of choice as required every two years opposite the year of the actual emergency event which occurred in 2020, 2021 or 2022. This had the potential to affect all persons served by the agency.

The agency failed to maintain an accurate and updated Client Medication Report (CMR) per policy.

(Vacuum Assisted Closure) guidelines and interviews with the staff it was determined the agency failed to ensure: 1. All wound measurements were complete and assessed weekly and documented in the MR.

The agency failed to ensure: 1. Visit frequencies ordered by the physician were followed.

The agency failed to ensure the staff: 1. Performed hand hygiene prior to donning gloves 2. Performed hand hygiene following contact with wound dressing.

The agency failed to ensure an initial assessment was completed within 48 hours after the agency received a referral for 1 of 13 medical records reviewed.

The agency failed to ensure medications were reconciled in 1 of 4 home visits (HV).

The agency failed to ensure an individualized Plan of Care (POC) was developed to meet the needs of a patient with an Infusaport.

The agency failed to ensure: 1. Behavioral changes were reported to the physician.

The agency failed to ensure the patient's Plan of Care (POC) was reviewed, revised and individualized to meet the patient's needs.

The agency failed to ensure: 1. Patient (pt)/caregiver (cg) were provided education to provide care and disease management.