Adventist Health Home Care Services

The agency failed to investigate and document the resolutions of complaints made by 4 of 21 sampled patients (Patients 18, 19, 20 and 21).

The agency failed to ensure a diagnosis of Diabetes Mellitus (high blood sugar in the blood) was included in the plan of care (POC) for one of seven patients with home visits (Patient 5).

The agency failed to ensure the plans of care (POC) for three of 21 sampled patients (Patients 1, 15, and 17) were reviewed and signed by the physician within 30 working days from the start of care (SOC) date.

The agency failed to assure clinicians communicated and coordinated the plans of care (POC) with the physician for four of seven patients with home visits (Patient 3, 4, 5, and 6) when: 1a.

The agency failed to coordinate the delivery of care to meet the needs of one of 7 patients with home visits (Patient 4), when registered nurse (RN) 1 and licensed vocational nurse (LVN) 4 failed to follow up on a recommendation for Patient 4 to have off-loading boots [shoes or boots designed to…

The agency failed to provide the patient and his or her caregiver (if any) written information regarding the patient's medication regimen based on the results of the medication review conducted for six of seven patients with home visits (Patients 1, 2, 3, 4, 5, and 6).

The agency failed to ensure services were provided as ordered by the physician in the plan of care (POC), for three of seven patients with home visits (Patient 7, 9, and 10 ) when: 1. The licensed vocational nurse (LVN) 3 did not measure Patient 1's wound during a home visit on 4/10/19.

The facility failed to ensure the patients and/or their caregiver/family were provided with training/education about their care, for two of seven patients with home visits (Patient 2 and 4) when: 1. The physical therapist (PT) 2 failed to provide Patient 2 with instructions on foot care.