Better Health Home Care

An organization that delivers skilled nursing and other therapeutic services in a patient’s residence) failed to ensure that the transfer and discharge policy was included in the admission packet (a collection of legal, financial, and clinical documents used to onboard a new patient and start home…

Medical social services to patients in their homes) failed to perform medication reconciliation at the patient's home during a joint home visit with a Skilled Nurse (SN- a professional medical services delivered by licensed healthcare professionals, including registered nurses and licensed…

Or age) failed to ensure the physician’s medication orders for vitamin C and multivitamins were updated on the medication profile (up-to-date comprehensive record of all the medications taken by the patient, including the strengths, dosages, routes, and frequency of each medication) based on the…

The home health agency (HHA) failed to ensure the Emergency Preparedness policy was reviewed every two years and annual Emergency Preparedness training for all staff.

The agency staff failed to ensure care followed the written plan of care for one of seven sampled patients (Patient 3) with a Stage 4 (deep wounds that impact muscle, tendons, ligaments, and bone) pressure ulcer to the sacral-coccyx (tailbone).

The agency failed to follow accepted standard precautions to prevent transmission of infection for one of seven patients (Patient 4).

The agency failed to ensure patient's clinical records were safeguarded against loss and unauthorized use.

The agency staff failed to review all medications the patient is currently using for one of seven patients (Patient 4).

The home health agency (HHA) failed to follow the physician's order for one of seven patients (Patient 4) with Stage II (shallow open ulcer) pressure ulcer to the sacral area.

LVN 2 (license vocational nurse) failed to notify the physician promptly of the patient's elevated BP (blood pressure) reading during the visit for one out of 7 sample patients (Patient 2).

The home health agency (HHA) failed to follow the plan of care (POC) for two of seven patients (Patients 1 and 5).

The home health agency (HHA) nursing staff failed to follow the plan of care for three of seven patients.

The home health agency (HHA) staff failed to review all the medications and update the medication profile for one of seven patients (#3).

The Home Health Agency (HHA) failed to ensure that the patient and primary caregiver (PCG) was properly instructed regarding the storage and labeling of opened Novolog Mix 70/30 flexpen insulin (medication given by injection to help control high blood sugar) for one of seven patients (#1).