Central Plains Home Health

The agency failed to ensure 1of 3 staff (Staff C), observed during the provision of care to 1 of 3 patients (Patient 1), performed proper hand hygiene according to the agency's policy and procedure.

The agency failed to ensure the patient's medication orders on the plan of care and the medication profile (a real-time document used by the agency as part of the plan of care, that lists the patient’s medications, including new and updated orders received between certification periods), were…

The agency failed to ensure staff followed the agency's policy and procedure for physician orders when a verbal order was received for 1 of 7 patient records reviewed (Patient 3).

The agency staff failed to notify the physician or allowed practitioner of the need to change treatment orders on the plan of care, when a change in wound status occurred for 1 of 4 patients (Patient 3) receiving wound care.

The agency failed to conduct Registered Nurse (RN) supervisory visits at least every 14 days to 1 of 2 patients (Patient 6) receiving Home Health Aide services.

The agency failed to ensure staff follow the agency policy and procedure to complete a verbal order/physician order when there was a change in orders for 2 of 8 records reviewed (Patient 3 and Patient 6).

The agency failed to ensure staff follow treatments as ordered by the physician for 1 of 8 patient records reviewed (Patient 3) and failed to have a process in place for the timely verification and/or clarification from the ordering physician of orders relayed to the agency staff by the patient.

Agency staff failed to follow accepted standards of practice to prevent the transmission of infections and communicable diseases during the provision of patient wound care for 1 of 1 staff observed providing wound care (Patient 1, Registered Nurse-B).