Brookestone Home Health & Hospice

The agency failed to include on the patient’s individualized Plan of Care, all the requirements specified by this regulation for 4 of 10 patient records reviewed (Patients 3, 4, 6, and 7).

The agency failed to include patient’s progress towards the measurable outcomes and goals identified by the home health agency and the patient, for 6 of 6 patients (Patients 1, 2, 3, 4, 6, and 7) who had revised/updated Plan of Care.

The agency failed to ensure all patient cares/services were provided in accordance with a physician orders for 1 of 2 patients sampled receiving Home Health Aide (HHA) services and onsite HHA physician ordered supervisory visits by the RN (Patient 7) and 3 of 17 sampled patients receiving Skilled…

The agency failed to ensure all staff performed proper handwashing/sanitizing and/or gloving in accordance with policy for 2 of 7 observation of in home patient cares (Patients 2 and 4).

The agency failed to ensure 1 of 2 Home Health Aides (HHA) employed by the agency completed 12 hours of in-service training within the last 12 months (HHA-D).

The agency failed to ensure the initial patient assessment visit by a Registered Nurse (RN) was completed within 48 hours (2 days) of a referral to home health for 4 of 17 patients (Patients 3, 5, 9, and 11).

The agency failed to ensure a Registered Nurse (RN) completed an onsite Home Health Aide (HHA) 14 day supervisory visit for 1 of 2 patients receiving HHA and skilled services (Patient 4).

The agency failed to ensure all disciplines completed a discharge summary for 1 of 2 discharged patients receiving Occupational Therapy (OT) services Patient 15).