Assisted Healthcare Services

The Home Health Agency (HHA) failed to ensure that 3 of 7 sampled patients (Patient 1, Patient 3, and Patient 4) received the skilled nursing (SN) services as indicated in the Plan of Care (POC).

The home health agency staff failed to review the patient's medications and update the medication profile for 1 of 7 patients (Patient 4).

The plan of care (POC) failed to include seizure precaution and instruction/education to the patient/primary caregiver (PCG) for one of 7 sample patients (Patient 1).

The Home Health Agency (HHA) failed to communicate with a physician and a pharmacist regarding the discrepancies of the medication dosages and the methods in preparing medications for one of 7 sampled patients (Patient 1).

The agency failed to follow the physician's order for one of seven sampled patients (Patient 7).

The agency failed to investigate a complaint/concern for one of seven sampled patients (Patient 4).

The agency failed to follow its policy and procedure on medication management for two of seven sampled patients (Patient 1 and Patient 7).

The agency failed to ensure medications were administered to one of seven sampled patients (Patient 1) as ordered by the physician.

The agency failed to communicate and coordinate additional hours of respite care (short-term relief for primary care givers) for one of seven sampled patients (Patient 1).

The agency failed to provide education for one of seven samples patients' (Patient 7's) caregiver according to the plan of care.

The agency failed to ensure the accuracy of the clinical record for one of seven sampled patients (Patient 1) when: 1. The medications administered on 6/13/19 and 6/21/19 were not recorded on the Medication Administration Record (MAR, a legal record of the drugs administered to a patient).