Community Health Services

Agency staff interview review the agency failed to ensure accurate and thorough completion of a comprehensive assessment of wounds for 1 of 1 sampled patients with wounds.

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 3 of 3 sampled patients with home observation visits (Patients #1, #2 and #3).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and advanced directives used by the patient for 2 of 7 sampled patients (Patients #1 and #4).

The agency failed to provide services only as ordered by the physician for 3 of 7 sampled patients (Patients #1, #5 and #7).

The agency failed to ensure registered nurses provided individualized and specific written patient care instructions to agency home health aides for 2 of 6 sampled patients receiving home health aide services (Patient #4 and Patient #5).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 5 of 8 sampled patients (Patient #1, Patient #2, Patient #4, Patient #5 and Patient #6).

The agency staff failed to provide medications and treatments only as ordered by the physician for 1 of 8 sampled patients (Patients #4).

The agency failed to report changes in patient clinical findings to the physician for 1 of 4 sampled patients (Patient #4) with wounds.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law,and/or as directed by the skilled nursing professional assigning the home health aide to the patient for 3 of 6 sampled patients receiving home health aide…

The home health agency failed to assess emergency preparedness needs of the patient with each comprehensive assessment for 3 of 3 sampled patients (Patients #3, #5 and #7) with updates to the comprehensive assessment.

The agency failed to provide annual emergency preparedness training to 13 of 13 contracted staff.

The agency failed to ensure agency staff completing a drug regimen review included a review of all of the required components (ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy) of a drug regimen review…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 2 of 7 sampled patients (Patients #3 and #5).

The agency failed to update the Plan of Care with new physician orders for 2 of 2 sampled patients with closed records.