Amedisys Home Health Care (Amherst)

The agency failed to ensure the comprehensive patient assessment accurately reflects the patient's status.

The agency failed to ensure the assessments were of sufficient scope to identify patient needs.

Staff interview in one (1) of seventeen (17) records (Patient #5) the agency failed to provide services in accordance with an establish a Plan of Care (POC) that addresses patient needs, includes patient specific measurable outcomes and goals, and is updated as patient needs change.

The agency failed to provide services in accordance with physician orders.

The agency failed to ensure the Plan of Care (POC) is reviewed and revised to reflect the patient's current status.

The agency failed to analyze, and track quality indicators, including patient events to implement adequate action plans to lead to measurable improvements in areas identified and to maintain an agency wide program for the surveillance, investigation prevention and control of infectious diseases as…

The agency failed to ensure all documentation by professional staff is appropriately authenticated in accordance with accepted standards of practice.

The agency failed for one (1) of one (1) patient refusing services (Patient #1) to educate the patient/caregiver on the risks and potential outcomes of refusing services, failed to notify the physician in a timely manner about refusal of services, and failed to document the measures and…

Agency policy and procedure and staff interview for one (1) of one (1) patients (Patient #1) the agency failed to investigate a complaint made by the patient’s caregiver.

The agency failed to ensure it conducted a complete investigation of all complaints involving care that is furnished inconsistently, inappropriately or fails to be furnished.

The agency failed to ensure the Registered Nurse (RN) conducted an initial assessment of the patient within forty-eight (48) hours of referral, the patient’s return home, or on a physician-ordered start of care date.

The agency failed to ensure that a comprehensive assessment consistent with the patient's needs was performed within five (5) calendar days after the Start of Care (SOC).

The clinical record lacked documented evidence of a complete review of all medications the patient is currently using to ensure accuracy of the orders, identify any potential adverse effects, drug reactions or concerns.

The agency failed to ensure a comprehensive assessment was completed within the last five (5) days of the sixty (60) day certification period.

The agency failed to ensure a comprehensive Plan of Care (POC) was developed, based on interdisciplinary assessments, to meet the individualized needs of the patients.

17) the agency failed to ensure drugs and treatments are administered in accordance with physician orders.

The agency staff failed to promptly alert the physician to any changes in the patient's condition that suggests the need to alter the plan of care (POC).

The agency failed to ensure that discharge planning was communicated with the patient/caregiver and the responsible physician prior to discharge from the agency.

The agency failed coordinate care delivery to meet the patient’s needs.

Staff interview for two (2) of seventeen (17) patients (Patient #s: 1 and13) the agency failed to ensure the patient/caregiver is provided with appropriate education in order to carry out the plan of care.

The agency failed to ensure all clinical notes are complete and accurate and contain all pertinent information about the patient’s current status.

The agency failed to ensure there was effective communication and follow-up with the physician involved in the patient’s plan of care.

The agency failed to ensure for one (1) of four (4) Aides (Employee H) that all Aides have completed an approved NYS Home Health Aide training program.

11) the agency failed to ensure staff clinical staff provided care in accordance with agency policies and procedures, current clinical practice guidelines and accepted standards of practice.

For one (1) of seventeen (17) patients (Patient #16) the agency failed to ensure that the patient's current comprehensive assessment, including all the assessments from the most recent home health admission, clinical notes, plans of care, and physician orders reflects the most current and accurate…

The agency failed to ensure the OASIS data accurately reflects the patient's status at the time of the assessment.

The agency failed to provide services in accordance with physician orders.

The agency failed to ensure the Plan of Care (POC) was reviewed and revised to reflect the patient's current status.

The agency failed to ensure the Physical Therapist (PT) conducted an initial assessment of the patient within 48 (forty-eight) hours of referral or on the physician-ordered start of care date.

The clinical record lacked documented evidence of a complete review of all medications the patient currently uses to identify any potential adverse effects, drug reactions, or concerns.

The agency failed to ensure Plans of Care (POC) are of sufficient scope to address all patient needs.

Failed to include evidence that orders were obtained for changes in the plan of care (POC).

The agency failed to ensure physician is notified of changes in the patient's condition or needs that suggest that the Plan of Care (POC) may need to be altered.

The agency failed to ensure that discharge planning was communicated with the responsible physician prior to discharge from the agency.

The agency failed to coordinate care delivery to meet the patient's needs.

The agency failed to ensure clinicians prepare and document complete and accurate clinical and progress notes.

The agency failed to ensure staff follow current clinical practice guidelines and agency policies and procedures.

The agency failed to complete a discharge summary and send it to the primary care practitioner within 5 (five) business days of the date of the order for discharge.