Cc Home Care of Virginia

Agency staff failed to follow physician orders on the plans of care for one (1) of seven (7) patients whose records were reviewed in the survey sample (clinical record #5).

The agency failed to ensure each patient was advised in advance of providing care the extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, the charges for services that may not…

The agency failed to provide a Home Health Change of Care Notice (HHCCN) to Medicare patients in advance of reducing/discontinuing services for one (1) of one (1) clinical record in the survey sample for which a HHCCN was applicable (clinical record #2) The findings were: The electronic clinical…

The agency failed to update or revise the comprehensive assessment within 48 hours of a patient's return to the home from a hospital admission of 24 hours or more for one (1) of two (2) patients who had a resumption of care following a hospital admission and whose clinical records were reviewed in…

Agency staff failed to ensure plans of care contained measurable goals for five (5) of seven (7) patients whose records were reviewed in the survey sample (clinical records #1-5).

The agency failed to send a completed transfer summary to a hospital where a patient was admitted for care within two (2) business days of becoming aware of the unplanned transfer for one (1) of two (2) patients with unplanned hospital admissions and whose clinical records were reviewed in the…

The agency staff failed to follow the plan of care for five (5) of seven (7) patients in the survey sample (patients #1, 2, 5, 6 and 7).

The agency failed to ensure the patient's individualized plan of care included measurable outcomes and/or goals and patient stated goals for seven (7) of seven (7) patients in the survey sample (patients #1- 7).

The nurse failed to provide wound care as ordered by the physician.