Adventhealth Home Health

The RN failed to follow proper infection control procedures during wound care for 1 of 3 patients who received wound care during a home visit [#3]. The findings included: Patient # 3 had a Start of Care date of 8/20/24 and a diagnosis of pyonephrosis [infection in the kidneys]. Review of the Plan…

The RN failed to measure wounds weekly for 2 of 11 patients with wounds [#3, 10]. The findings included: 1. Patient # 3 had a Start of Care date of 8/20/24 and a diagnosis of pyonephrosis [infection in the kidneys]. Review of the Plan of Care [POC] for the certification period 8/20/24-10/18/24…

The Plan of Care [POC] failed to include current/correct medications the patient was taking for 6 of 17 records [#1, 2, 3, 8, 13 and 6]; and the POC included interventions no longer applicable to the patient for 2 of 17 patients [#8 and 1]. The findings included: 7. Patient #6 was admitted on…

The physician was not notified prior to the PT recommending use of the barrier cream.

The agency failed to notify the physician of vital signs outside parameters for 5 of 17 patients with vital signs outside given parameters [#1, 2, 3, 13, 7]. The findings included: 5. Patient #7 was admitted on 08/11/24 with diagnoses of pressure ulcer stage 3, manic episode, and long standing…

The RN failed to perform wound care for 1 of 3 patients who received wound care during home visits [#3]; and failed to obtain weekly vascular access device [a device that provides access to the bloodstream for the administration of fluids, medication and other therapies] measurements for 1 of 1…

The clinical record failed to include vital signs for 6 of 17 patients [#9, 10, 13, 5, 12, 15]. The findings included: 4. Patient #5 was admitted on 08/29/24 with diagnoses of acute cystitis with hematuria (urinary tract infection with blood), frequent falls, and acute kidney failure.

Staff interview the agency failed to provide home health aide supervision for 2 of 6 home health aide records reviewed (#11 and 20).

The clinical record failed to include wound measurements for 3 of 4 records with wounds (#4, 13, and 23).