Chi St Vincent Health at Home

The Skilled Nurse (SN) failed to include all medications for reconciliation and medication interaction checks in 3 (#5, #8, #10) of 10 (#1-#10) clinical records reviewed.

The patient's plan of care did not contain specific and individualized orders for patient/caregiver education and training.

The Agency Staff did not address the Patient's functional limitation in obtaining weights in 1 (#3) of 17 (#1 - #17) Clinical Records reviewed.

The Agency staff failed to monitor, record, and report weights or fingerstick blood sugar for 3 (#1, #4, and #6) of 17 (#1 - #17) Clinical Records reviewed.

The Agency did not ensure their process of mailing written information specific to the patients Plan of Care (POC) to patients or caregivers was followed in 6 (#1, #2, #3, #4, #5 and #7) of 7 (#1 - #7) home visits conducted.

The Agency failed to ensure the Licensed Practical Nurse (LPN) followed the Agency's Policy to report changes in patient conditions to the Registered Nurse in 5 (#1, #4, #9, #11, and #16) of 17 (#1 - #17) Clinical Records reviewed.

The Home Health Aide (HHA) failed to report changes in Patient condition for 1 (#9) of 4 (#9, #10, #11, and #12) Clinical Records reviewed with orders for HHA services.

The Registered Nurse (RN) failed to provide timely oversight of the Home Health Aides (HHA) through on-site Supervisory Aide Visits (SAV) every 14 days in 3 (#10 and #11, and #12) of 4 (#9, #10, #11 and #12) Clinical Records reviewed with orders for HHA services.

The Skilled Nurse (SN) staff did not accurately document care provided including all medications and interventions in 2 (#12 and #16) of 17 (#1 - #17) Clinical Records reviewed.