Ambiance Home Health Care Inc

The home health agency failed to follow the physician orders as written for 8 of 17 (#2, #4, #6, #7, #8, #9, #12, #17) sampled records; failed to provide wound care with appropriate physician orders for one of three sampled residents (#1).

The home health agency failed to provide services in the plan of care for 4 of 17 (#6, #7, #8, #17) sampled records, related to Occupational Therapy (OT) and wound care.

The home health agency failed to adequately monitor Physical Therapy (PT) needs prior to discharge when PT needs were still warranted and failed to do timely referrals for 4 of 17 (#1, #3, #8, #17) sampled records, related to Occupational Therapy (OT) and wound care.

The home care agency failed to transmit completed OASIS (The Home Health Outcome and Information Assessments) within 30 days after completing the assessment for 4 (#12, #15, #16, #17) out of 17 patient records reviewed.

The home health agency failed to follow the physician orders as written for 6 of 17 (#2, #6, #7, #8, #12, #17) sampled records.

The agency failed to follow infection control practices for 2 out of 7 sampled residents (#3 and #6) related to hand sanitizing (#3 and #6), bag technique (#6), and wound care (#6).

The agency failed to treat the patient with dignity related to privacy for one of seven sampled residents (#1) during wound care.

She reported that "the orders are confusing." Based on interview and record review, the agency failed to provide all services on the Plan of Care for three (#5, #12, #13) of 17 sampled residents.

The agency failed to provide wound care with appropriate physician orders for one of three sampled residents (#1).

The home health agency failed to provide services in the plan of care for 4 of 17 (#6, #7, #8, #17) sampled records, related to Occupational Therapy (OT) and wound care.

The DON stated that the nurse would have told us she did not see the patient on 10/02. When asked about drive-by visits instead of just calling, the DON stated that they have to call, they do not get reimbursed for drive-by's or mileage, so the staff has to call before driving out to see a patient.

The facility failed to ensure medications were appropriately and thoroughly documented on the Medication Profiles for 3 of 3 patient records reviewed.