California Homecare Pharmacy

The home health agency (HHA) failed to ensure that all staff members had attended to annual training for emergency and disaster preparedness drills.

The Home Health Agency (HHA) failed to ensure a copy of the current plan of care (POC- information identified based upon the patient identified needs and development of appropriate interventions) was provided to three of 7 sampled patients (Patients 2, 3 and 4).

The home health agency (HHA) skilled nurse failed to review and update the patient's medication regimen of 2 out of 7 sampled patients (Patients 2 and 3).

The home health agency (HHA) failed to ensure the plan of care (POC-statement of care, interventions, and goals) and physician’s orders were obtained from the physician for 2 of 7 sampled patients (Patients 2 and 3).

The home health agency (HHA) skilled nurse (SN) failed to ensure the physician was notified of the patient's high pulse rate (tachycardia) readings for one of 7 sampled patients (Patient 4).

The skilled nurse failed to ensure patients caregiver(s) received an ongoing education and training for two of seven sampled patients (Patients 2 and 3).

The home health agency (HHA) failed to ensure the plan of care (POC) included parameters for oxygen levels and significant oxygen saturation results to be coordinated with the physician for two of 7 sampled patients (Patients 5 and 6).

The skilled nurse failed to assess the patient's safety as indicated in the plan of care for one of seven patients (Patient 1).

The home health agency (HHA) staff failed to ensure coordination of care between the agency, patient and patient caregiver regarding weight loss concerns for one of seven sample patients (Patient 1).

The home health agency (HHA) staff failed to review all the medications and update the agency's medication profile to reflect discontinued medications for one of seven sample patients.