Boone Hospital Center's Visiting Nurses, Inc.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to ensure agency staff complied with accepted professional standards and principles related to performing care and maintaining adequate and appropriate infection control measures in, but not limited to, two of three patient observations (RECORDS/PATIENTS #1 and #3).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the administrator's name in order to receive patient complaints.

The agency failed to provide written notice regarding the patient's financial obligation in one (Record/Patient #2) of three home visit records reviewed for this standard.

The agency failed to ensure a registered nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral in, but not limited to, one (Patient #5) of six records reviewed.

The agency failed to ensure an accurate medication review and/or update of patient medications was completed in, but not limited to, three (Records/Patients #1, #3, and #6) of six records reviewed.

The agency failed to ensure that a complete plan of care (POC) was developed in, but not limited to, three (Records/Patients #2, #4, and #5) of six cases.

The agency failed to assure communication with all physicians involved in the plan of care in, but not limited to, one of six (Record/Patient #1) cases.

The agency failed to provide the patient and/or caregiver a copy of written instructions outlining the visit schedule, including frequency of visits by agency personnel in three (Records/Patients #1, #2, and #3) of three home visit observations conducted.

The agency failed to provide the patient and/or caregiver a copy of written instructions outlining the patient's medication schedule/instructions in plain language, to include the name, dosage, frequency and which medications would be administered by the agency personnel in two (Records/Patients…

The agency failed to provide written information to the patient regarding treatments administered by the home health personnel in two (Record/Patients #2 and #3) out of three home visits made.

The agency failed to ensure the patient was aware of the name and contact information of the clinical manager in, but not limited to, three patients (Records/Patients #1, #2, and #3) of six records reviewed .. This deficient practice has the potential to affect all patients served by the agency…