Carolina Home Care

Patient interview the agency failed to review all current medications for 4 of 5 home visits conducted (#7,9, 10, and 11).

Staff and patient interview the agency failed to review all current medications for 4 of 5 patients that received a home visit (#13, #14, #7, and #17).

The POC failed to include any medical equipment or supplies.

The agency failed to notify the physician that blood sugars were not checked for 1 of 4 diabetic patients that took insulin injections (#11); and to notify the physician of unrelieved symptoms of itching in 1 of 5 home visits (#11).

Staff interviews the agency failed to follow the plan of care as ordered by the physician for wound care for 1 of 6 patients with a wound (#5).

Staff interview the agency failed to measure PICC (peripherally inserted central line) for 1 of 1 records reviewed with a PICC line (#6).

Staff interviews the agency failed to follow the plan of care as ordered by the physician for home health aide services for 1 of 3 patients with a home health aide (#9), vital signs for 1 of 1 patients with emphysema (#3).

The nursing staff failed provide care in accordance with the condition of skilled professional services for 5 of 17 patients (#4, 8, 7, 1, and 17).

The agency failed to update the comprehensive assessment with PICC (peripherally inserted central catheter-access for IV medications) line measurements at recertification in 1 of 2 patients with a PICC line.

The agency failed to discharge 1 of 1 patients that requested discharge (#15).

The agency failed to conduct a review of all medications during the comprehensive assessment for 6 of 7 patients that received home visits (#1, 4, 7, 3, 5, and 6).

The agency failed to provide on-going assessment of wounds in 1 of 10 patients with wounds (#7).

The agency failed to provide wound care as ordered in 1 of 10 patients with wounds (#4); follow visit frequency in 1 of 17 patients (#1), assess a jejunostomy tube in 1 of 1 patients with a jejunostomy [a feeding tube inserted through the skin at the front of the abdomen and the wall of the jejunum…

The agency failed to have documentation that showed the treatments that were ordered for wound care to the heels was completed for one of 10 patients (#17).

Patient and staff interviews the nursing staff failed to advise the physician of changes in the status of a wound for 2 of 2 patients [#4 and 8]. Both patients required hospitalization due to the changes.

The home health aide did not follow the Plan of care for 1 of 2 patients that received home visits with home health aide observations (#5).

Staff interview the RN failed to ensure that the home health aide followed the Plan of Care (POC) for 1 of 2 patients that received a home visit with the home health aide (#5).

The agency failed to complete an agency discharge summary for 2 of 5 discharged patients (#10 and 13).