Amedisys Home Health of the Midlands

The agency failed to ensure 4 of 7 staff (Staff F, G, H, and I ), observed during the provision of care for 4 of 7 patients (Patient 4, 5, 6, and 7 ), performed proper hand hygiene, bag technique and cleaning of equipment, according to the agency's policies and procedures.

The agency failed to ensure the patient's medication orders on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medications) were accurate for 8 of 17 patient records reviewed (Patient 1, 3, 5, 7, 8, 9, 10, 11).

The agency failed to ensure staff notified the patient's physician when a change in wound status occurred for 1 of 10 patient records reviewed (Patient 5), who received wound care.

The agency failed to follow the agency policy and procedure to ensure the home health aide (HHA) plan of care (POC) was individualized to meet the patient’s specific care needs for 3 of 6 patients records reviewed who received HHA services (Patient- 1, 4, and 7).

The agency failed to ensure the Skilled Nurse (SN) follow the agency policy and procedure perform wound measurements weekly and when a new wound is identified for 1 of 4 patient's reviewed who receive wound care (Patient- 3).

The agency failed to ensure all patient care services were provided in accordance with the physician approved written Plan of Care (POC) and failed to notify the physician of the need to alter the POC for 2 of 17 patients (Patients 1 and 2).

The agency failed to ensure the Home Health Aide (HHA) care plan was completed by a Registered Nurse (RN) as required when both skilled nursing (SN) and therapy services are part of the patient's physician approved written Plan of Care (POC) for 2 of 4 patients receiving HHA, SN and Occupational…

The agency failed to ensure a Registered Nurse (RN) completed an onsite Home Health Aide (HHA) supervisory visit no less frequently than every 14 days for 3 of 7 patients (Patients 1, 12 and 13) receiving Skilled Nurse (SN) and HHA services.