Atrium Health at Home University City

The Plan of Care failed to include all the current/correct medications for 3 of 7 home visits [#6, 12, 10]. The findings included: The policy, Medication Reconciliation [8/7/24], was provided by the accreditation coordinator on 4/9/25 at approximately 2:08 pm.

Staff interview the agency failed to follow the plan of care as ordered by the physician for weights for 1 of 4 records reviewed with heart failure (#4) and wound care for 1 of 6 records with a wound (#5 ).

Staff and patient interview the agency failed to review all current medications for 5 of 6 patients that received a virtual home visit (#12,#15, #11,#13, and #16).

Staff interview the clinical record failed to include PICC (peripherally inserted central catheter) line measurements for 1 of 1 records with picc lines (#4).

Client record review and staff interview the agency failed to follow the physician's order related to PICC (peripherally inserted central catheter) line dressing changes for 1 of 2 clients with a PICC line (#11).

Staff interview the plan of care lacked the required element of all medications for 2 of 7 records reviewed that also received a home visit (# 12 &13).

Staff interview the agency failed to coordinate care with the physician for a change in condition for 1 of 5 discharged clients (#9); failed to coordinate care with the physician for change in condition for 1 of 1 clients with a PleurX catheter (#4).

The agency failed to follow the Plan of Care for 1 of 2 patients that required weight monitoring (#1).