Amedisys Home Health of Missouri

The home health provider failed to ensure an accurate and updated medication profile was included in the patient record in one of five full records reviewed (Record/Patient #2).

The home health provider failed to send a transfer/discharge summary to the receiving provider in one of two discharge records reviewed (Record/Patient #6).

The agency failed to ensure a complete comprehensive assessment was completed in one (Record/Patient #4) of five full records reviewed.

The agency failed to ensure the plan of care was followed in one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure that staff followed infection control standards of practice in two (Records/Patients #1, and #2) of three home visit observations.

The agency failed to update the written notice of patient rights to ensure that the patient and representative (if any) were advised of the name, addresses, and telephone numbers of Federally funded and state funded entities that serve the area where the patient resides to include the current the…

The agency failed to ensure the patient's medications were reconciled during the start of care comprehensive assessment and that the medication profile was updated with medication changes in, two (Records/Patients #2 and #3) of five full records reviewed.

The agency failed to ensure that the patient received initial and ongoing education regarding medications and failed to ensure that the registered nurse (RN) developed a plan of care that included all information identified during the comprehensive assessment to include patient and caregiver…

The agency failed to ensure communication with all physicians involved in the plan of care (POC) when there were changes in the current POC in one (Record/Patient #4) of five full record reviews completed.

The agency failed to ensure that resolutions to complaints were effectively addressed/documented as required and directed by agency policy guidelines.

The agency failed to provide consistent and accurate patient rights information to the patient regarding the state hotline hours of operation (7:00 AM to midnight, 7 days a week).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must take action to prevent further potential violations while investigating a complaint.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of…

The agency failed to maintain an accurate and updated medication profile in, but not limited to, three (Records/Patients #2, #4, and #5) of five records reviewed.

The agency failed to alert the physician to changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered in, but not limited to, three (Records/Patienst #3. #4, and #5) of five records reviewed.