Americare in Home Nursing, Home Recovery

The Home Health Agency (HHA) failed to complete an initial assessment visit within 48 hours of a referral, or the patients return home from an inpatient facility stay, or on the practitioner ordered start of care date for four of eight patients (Patient (P) 1, P2, P4, and P8).

The Home Health Agency (HHA) failed to complete the patient comprehensive assessment no later than five calendar days after the start of care for three of eight patients (Patient (P) 3, P5, and P8).

The Home Health Agency (HHA) failed to provide the patient or caregiver with a written medication list which included the name of the medication, dosage, and frequency written in plain language for two of two patients (Patient (P) 3 and P4) reviewed during a home visit observation.

The agency failed to provide care as ordered by a physician.

The agency failed to ensure that each patient received their home health services according to a written plan of care for three (3) of nine (9) clinical records reviewed in the survey sample (clinical record #1, 3, and 4).

The agency's governing body failed to ensure organization and overall administrative duties related to the agency's ongoing functions were being maintained.

The agency staff failed to ensure the comprehensive assessment was completed for the initial assessment in one (1) of nine (9) clinical records reviewed in the survey sample (clinical record #1).

The agency failed to update or revise the comprehensive assessment within 48 hours of a patient's return to the home from a hospital admission of 24 hours or more for one (1) of one (1) patient who had a resumption of care following a hospital admission in the survey sample (clinical record #2) The…

The agency failed to ensure that each patient had a plan of care which contained the necessary elements for three (3) of nine (9) clinical records reviewed in the survey sample (clinical record #1, 3, and 4).

The agency failed to ensure that all physician orders were recorded in the plan of care for three (3) of nine (9) clinical records reviewed in the survey sample (clinical record #1, 3, and 4).

The agency failed to ensure that care was provided only according to physician orders for three (3) of nine (9) clinical records reviewed in the survey sample (clinical record #1, 3, and 4).

The agency staff failed to ensure all clinical notes and physician orders were entered in the clinical record for four (4) of nine (9) clinical records reviewed in the survey sample (clinical record #1, 2, 3, and 4).

The agency failed to send the patient's transfer summary within 2 days of transfer for one (1) of one (1) transferred patient in the survey sample (clinical record #2).

Agency staff failed to follow infection control guidelines when performing care for one (1) of three (3) patients that were observed during home visits in the survey process (patient #4).

The agency failed to ensure the patient's medication profile contained a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions…

The agency failed to document measurable outcomes/goals identified by the agency and patient for two (2) of seven (7) patients whose medical records were reviewed in the survey sample (patients #6 and #7).