Alabama Homecare of Montgomery

The agency staff failed to follow physician orders for visit frequency.

The staff failed to follow the agency policy for hand hygiene, complete bed bath and glove change.

The agency failed to ensure the medications were reconciled and all current medications were listed on the Client Medication Report (CMR).

The agency failed to provide an individualized plan of care (POC).

The agency failed to ensure all treatments were ordered by the physician.

The agency failed to ensure the physician was promptly notified of changes in the patient's condition or needs.

The agency failed to ensure care was coordinated with the physician in relation to new medications and with outside agency at the time of discharge.

The agency staff failed to obtain a return demonstration of the administration of insulin to ensure the patient and/or caregiver was competent.

The Home Health Aide (HHA) failed to follow the aide plan of care for documentation of the the patient's last BM (bowel movement).

The agency failed to follow policy and accepted standards of practice for wound care.

The agency failed to ensure medication reconciliation was performed.

The agency failed to ensure: 1. The physician was promptly notified of blood clots in foley bag, edema to genital area after removal of a foley prior to attempt to reinsert a new foley catheter.

The agency failed to ensure instruction and teaching was provided to the patient/caregiver as ordered in the Plan of Care.

The agency failed to provide education to the patient and or caregiver for infection control and prevention for patients with wounds.

The agency failed to ensure wound care was provided according to physician orders This affected 3 of 6 records reviewed with wounds including, Home Visit (HV) # 1, MR # 2, and MR # 1 and the potential to negatively affect all patients served by the agency Findings include: Policy: 2.2.001 Subject…

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The agency failed to ensure Physician orders were obtained for all wound treatments provided.

Staff failed to notify the physician for change in the patient's condition which included deterioration in wound status.

The agency failed to ensure the following: 1. The patient or caregiver was provided instruction on how to perform wound care.