Atrium Health at Home Blue Ridge

The agency failed to include all medications on the plan of care for 3 of 7 home visits conducted (12,11,and 14 ).

Staff interview the agency failed to include wound measurements for 2 of 8 records reviewed with wounds (6 and 16).

Staff interview the agency failed to provide home health aide supervision for 1 of 1 home health aide records reviewed (#10).

Staff and patient interview the agency failed to review all current medications for 4 of 7 patients that received a virtual home visit (#1,#2,#3,and #4).

Staff interview the agency failed to coordinate care with the physician regarding wound drainage and odor for 1 of 4 wound records reviewed (#8).

Staff interview the clinical record failed to include wound measurements for 1 of 4 records with wounds (#8).

Staff the agency failed to follow the physician's order related to visit frequencies for 1 of 7 patients who received a home visit [#1]; failed to follow the physician's order for dressing changes for 1 of 2 patients with a wound vac [type of wound care which uses negative pressure [# 9]; failed to…

The Registered Nurse failed to educate the caregiver on wound care for 1 of 2 patients with a wound vac [#9]. The findings included: Patient # 9 had a Start of Care [SOC] date of 2/7/19 and diagnoses of Osteomyelitis [infection in the bone], Disruption of External Operation [surgical] Wound [wound…

Staff interviews the Registered Nurse [RN] failed to prepare concise VAD [vascular access device] measurements for 1 of 1 patients with a VAD [#9]; failed to prepare clinical notes which included wound measurements in accordance with agency policy for 1 of 2 patients with a wound vac [type of…