Bryan W. Whitfield Memorial Hospital Home Health

The agency failed to ensure their comprehensive EP plan/program was updated and reviewed biennially (every two years) to comply with the Federal EP requirements.

The agency failed to complete a facility-based and community-based all hazards risk assessment every two years.

The agency failed to ensure policies and procedures were reviewed and updated every two years.

The agency failed to ensure annual testing of the EP program had been completed, documented and analyzed.

The agency failed to ensure each patient was provided the State toll free home health telephone hot line number.

The agency failed to ensure medications were reconciled in two of three Home Visits (HV) conducted.

The Home Health Agency failed to ensure the staff notified the physician of changes in the patient's condition per agency policy, which included an increase in wound size.

The agency failed to to ensure annual competencies were performed.

The agency failed to complete a supervisory assessment of the Home Health Aide (HHA) services being provided no less frequently than every 14 days.

The agency failed to ensure the staff followed their own policy for COVID-19 screening and had an ongoing Infection Prevention and Control program.

The agency failed to protect the medical records, protect authenticated documents, and document assessments.

The agency failed to ensure staff completed a summary of the care at discharge and submitted the discharge summary documentation to the patient’s physician.

The agency failed to ensure the staff: 1. Provided wound care according to physician's orders.

The agency failed to ensure staff followed agency infection control (IC) policies and procedures and accepted IC practice standards and: 1. Conducted COVID (coronavirus)-19 screenings prior to all HV’s.

The agency failed to identify, track and trend infections for staff and patients.

The agency failed to ensure the: 1. Nurse was deemed competent by the ABON (Alabama Board of Nursing) approved standardized procedure for PICC (Peripherally Inserted Central Catheter) line removal.

The agency failed to ensure staff followed the agency pain management policy, performed pain assessments/re-assessments, and documented the assessment findings in the MR.

The agency failed to ensure: 1. Medical records were secure from unauthorized use.

The agency failed to ensure the medication profile addendum was updated with all current patient medications.

The agency failed to ensure an individualized Plan of Care (POC) was developed with all required elements to meet the needs of: 1. A patient with PT (Physical Therapy) service orders.

The agency failed to ensure PT (physical therapy) services were coordinated and delivered to meet patient needs.

The staff failed to follow the agency policies and: 1. Perform and document case management review of all patients no less than every 60 days per agency policy.

The agency failed to ensure HHA (Home Health Aide) competency evaluation documentation was complete, and accurate for HHA skills validation.

The Home Health Aide (HHA) failed to follow the Plan of Care prepared by the Registered Nurse (RN) for 1 of 2 active records reviewed with aide services.