Amedisys Home Health of Montgomery

The agency failed to ensure: 1) Staff performed hand hygiene and glove changes per policy. 2) All reusable equipment was disinfected after use. 3) A clean work surface was maintained throughout a wound care procedure.

The agency failed to ensure all HHA staff completed a competency evaluation program and were deemed competent for completion of all personal care tasks and included 2 of 2 newly hired HHA staff.

The agency failed to ensure the Client Medication Report (CMR) was accurate and reflected all current medications.

The agency failed to ensure the physician was notified with changes in the patient's wound condition.

The agency failed to ensure care coordination was complete and patient needs were met and included: 1) Durable medical equipment (DME) was available for patient care and included a nebulizer, glucometer, walker and pressure relief mattress. 2) Physician communication with a request for follow up…

The agency staff failed to ensure: 1) All interdisciplinary comprehensive assessments were completed within 5 days which included medication reconciliation and therapy re-assessment visits. 2) Wound assessments were completed and documented per policy.

The agency staff failed to follow the physician's plan of care that included: 1) Visits were completed as ordered in the plan of care for all disciplines. 2) Perform and and document daily weights. 3) Oxygen saturation monitored every visit. 4) Laboratory specimens collected as ordered. 5) Perform…

Staff failed to perform and document patient/caregiver education.

The agency failed to ensure medical record documentation was complete and accurate with all events, treatments and communications which included: 1) Collection of laboratory specimens, patient tolerance of the procedure and location of delivery for testing. 2) Specific wound care performed. 3)…

The agency failed to ensure the home health aide followed the written plan of care and accurately documented the care provided.

The agency failed to ensure Home Health Aide (HHA) supervision was performed every 14 days in 1 of 5 records reviewed with HHA services.

The agency failed to: 1. Ensure the Skilled Nurse followed the physician's orders for wound care.

The agency failed to ensure that skills validations related to Negative Pressure Wound Therapy (NWPT) i.e.., wound vac, were complete in 2 of 8 Skilled Nurse (SN) personnel records reviewed which included Employee identifier (EI) # 3, Registered Nurse and EI #2, Licensed Practical Nurse.

The agency failed to ensure the Skilled Nurse (SN) followed the physician's orders for wound care in 5 of 5 records reviewed with wound care.

The agency failed to notify the physician when a patients wound deteriorated in 4 of 4 records reviewed with wounds that deteriorated.

The agency failed: a.

The agency failed: a.