Cameron Regional Medical Center Home Health Agency

The home health provider failed to: -Ensure an individualized plan of care (POC) that included all pertinent diagnoses and treatments (G574); -Promptly alert the physician when the patient had a change in condition (G590); and -Ensure the coordination of care to meet the patient’s needs (G608).

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in one of three home visit observations (Record/Patient #1).

The home health provider failed to ensure an individualized plan of care (POC) that included all pertinent diagnoses and treatments, in one of five full records reviewed (Record/Patient #1).

The home health provider failed to promptly alert the physician when the patient had a change in condition, in one of five full records reviewed (Record/Patient #1).

The home health provider failed to ensure the coordination of care met the patient's pain needs in one of three home observations (Record/Patient #2).

The agency failed to assure clinicians followed accepted standards of practice to prevent the transmission of infections and communicable diseases in two (Records/Patients #1 and #2) of three home visit observations.

The agency failed to review of all medications the patient was currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug…

The agency failed to ensure the plan of care (POC) contained complete information for medication and interventions in, two (Records/Patients #4 and #6) of five full records reviewed.

The agency failed to send a completed transfer summary to the healthcare facility that the patient was receiving care within two business days of becoming aware of an unplanned transfer in one (Record/Patient #4) of five full records reviewed.

The agency failed to ensure an accurate medication review and/or update of patient medications was completed in, but not limited to, two (Records/Patients #1 and #2) of five records reviewed.

The agency failed to develop a complete/accurate plan of care (POC) in, but not limited to, two (Record/Patient #3 and #5) of five records reviewed.

Patient home folder review and interview 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, but not limited to two (Records/Patients #2 and #3) of three home visits conducted.

The agency failed to provide the patient and/or caregiver a copy of written instructions outlining care of the patient's nephrostomy tube (a tube inserted into the kidney to drain urine) in plain language in one (Record/Patient #3) of three home visit observations.

The agency failed to ensure care was provided as ordered by the physician as indicated by the plan of care in two (Record/Patient #4 and #5) of five records reviewed.

The agency failed to follow agency policy and procedures for infection control in one of three (Record/Patient #3) home visit observations.

The agency failed to ensure a completed transfer summary was sent to the receiving healthcare facility within two business days of becoming aware of an unplanned transfer in one (Record/Patient #2) of one record reviewed that had an unplanned transfer and failed to ensure a discharge summary was…