Audubon Home Health of Lafayette

The agency failed to conduct an exercise at least annually to test the emergency plan.

The agency failed to ensure the patient's written individualized POC (Plan of Care) was followed as evidenced by the SN (Skilled Nurse) failing to record daily weights for 1 (#2) out of 10 sampled patients.

The agency failed to ensure a patient’s comprehensive assessment accurately reflect the patient’s current drug regimen as evidenced by the SN failing to conduct a thorough review of all the patient’s (#4) current medications, including OTC (over-the-counter) for 1 (#4) out 10 sampled patients.

The agency failed to ensure the Governing Body implemented performance improvement efforts to address priorities for improved quality of care and patient safety by failing to conduct QA/QAPI meetings at least quarterly.

The agency failed to ensure that skilled professionals assume responsibilities appropriately as evidenced by the SN (Skilled Nurse) failing to follow the agency’s policy and procedure for communicating a change in a patients’ condition with the RN (Registered Nurse) for 1 (#6) out of 10 (#1-10)…

The agency failed to ensure a review of all medications was conducted each SN (skilled nurse) visit in order to identify any potential adverse effects and drug reactions, and noncompliance with drug therapy.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the PT (Physical Therapist) failing to follow the POC frequency for visits for patient (#10) for 1 out of 10 sampled patients.

The agency's staff failed to ensure they communicated changes found during the home visits to the patient's physician for patient #5 and failing to communicate a blood sugar reading of 310 to the physician for patient #3 for 2 out of 10 sampled patients.

The agency failed to coordinate care delivery to meet the patient's needs as evidenced by failing to follow-up on a fax that was sent to physician's office to ensure resources were obtained to assist the patient with getting a glucometer for 1 out of 10 sampled patients.

The agency failed to ensure a registered nurse (RN) made an onsite visit for Patient #4, who was receiving home health aide (HHA) services, no less frequently than every 14 days for 1 (#4) out of a total sample of 10 patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the agency failing to obtain a pulse ox (oximetry) or oxygen saturation with every SN (skilled nurse) visit for patient #3 and failing to have documentation of a skill nurse visit for…