Amedisys Home Health of Charleston East

The Home Health Agency (HHA) Skilled Nurses (SN #1 and #2) failed to follow basic Personal Protective Equipment standards to prevent cross contamination when performing wound care for 2 patients of 2 patients observed for wound care (Patient #2 and #3).

The home health agency failed to ensure physician orders for patients were followed for 6 of 17 patients reviewed.

The Home Health Agency (HHA) failed to ensure the Licensed Practical Nurse (LPN) was supervised by the Registered Nurse (RN) for 1 of 1 patients receiving LPN services, Patient #10. Findings included: Record review on 04/17/24 at 12:15 PM revealed Patient (Pt) #10 was admitted to home health on…

The Home Health Agency (HHA) staff failed to document weekly wound measurements in the comprehensive assessments to provide up to date information to the physician and HHA staff for 3 out of 6 applicable patients (Patient #2, #3 and #11).

The Home Health Agency (HHA) staff failed to maintain an accurate, up to date medication list matching the facility Medication Administration Record (MAR) or home medication list for 4 out of 7 applicable patients (Patient #1, Patient #2, Patient #3 and Patient #4).

The Home Health Agency (HHA) failed to ensure a discharge summary had been documented for two of five discharged patients (Patients #12, #14).

The home health agency failed to ensure all physician orders written for a patient were carried out as evidenced by failing to ensure all disciplines ordered on the patient's initial Plan of Care evaluated the patient and lack of documentation of physician notification of missed visits.

The agency staff failed to maintain infection prevention practices in the home setting for 3 of 7 observed visits.

The home health agency failed to maintain a current medication list when compared to the patient's active home medications during six of seven home visits.