Community Home Health Services

The home health agency failed to ensure the medical plan of care was followed as instructed by the primary care physician, in 4 of 11 clinical records reviewed.

The home health agency failed to ensure they coordinated care with all entities that provided medical services to their agency patient to ensure an integration of all patient health care needs, in 3 of 11 clinical records reviewed.

The home health agency failed to ensure all employees followed universal/ standard precautions and infection control practices in 3 of 4 home visits conducted, out of a total sample of 11 charts reviewed.

The home health agency failed to ensure they maintained documentation in the personnel file of skills and test competency of the home health aides prior to their first patient contact in 2 of 4 home health aide records for test competency (employees N, O), and in 1 of 4 home health aide records for…

The home health agency failed to ensure the registered nurse prepared the aide care plan to include when to perform specific aide tasks/ duties, in 2 of 5 clinical records reviewed with home health aide care, in a total sample of 11 clinical records reviewed.

The home health agency failed to obtain a legal signature from the patient or patient's legal representative on patient rights document, and agency financial documents in 1 of 11 clinical records reviewed.

The home health agency failed to ensure all patient's were treated with dignity and respect during 1 of 4 home visits observed.

The home health agency failed to ensure the patient was notified in advance of the pending discharge in 1 of 3 discharge records reviewed, out of a total sample of 11 clinical records reviewed.

The home health agency failed to ensure the patient received proper written notice prior to services being terminated by the home health agency in 1 of 3 discharged clinical records reviewed, of a total sample of 11 clinical records reviewed.

The home health agency failed to ensure that all complaints voiced by agency client's were recorded and resolved in 1 of 1 home health agency.

The home health agency failed to ensure the skilled nurse and/or therapist completed a comprehensive assessment on each patient, in 4 of 8 clinical records reviewed with skilled nursing and therapy services, out of a total sample of 11 clinical records reviewed.

The home health agency failed to ensure the medications reviewed during the comprehensive assessment included all medications, had indications for the PRN [as needed], had clear/ understandable dosages, and location for placement of medications in 5 of 11 clinical records reviewed.

The home health agency failed to ensure the resumption of care was performed 48 hours or less from the patients hospital discharge in 1 of 10 clinical records reviewed with skilled nursing services, out of a total sample of 11 clinical records reviewed.

The home health agency failed to ensure the plan of care was followed by all personnel as directed by the primary care physician, contained all the patients medication, contained all the DME [durable medical equipment]/supplies, contained all nutritional requirements, listed all physicians involved…

The home health agency failed to ensure the skilled professionals followed orders received from a physician and approved by the primary care physician that established the home health care orders in 1 of 11 clinical records reviewed.

The home health agency failed to ensure the primary care physician reviewed the plan of care a minimum of every 60 days in 1 of 11 clinical records reviewed.

The home health agency failed to ensure prompt notification of the physician for changes in the patients condition and for orders received by physicians other than the responsible physician, in 5 of 11 clinical records reviewed.

The home health agency failed to ensure the integration of all physicians in providing orders to the home health agency client and ensured receiving approval from the client's primary care physician in 1 of 11 clinical records reviewed.

The home health agency failed to ensure that all patient services were completed in a manner that would promote treatment effectiveness in each patient serviced and also failed to ensure there was coordination of care amongst services to promote safe, effective care and coordination of care with…

The home health agency failed to ensure they coordinated care with all entities that provided medical services to their agency patient to ensure an integration of all patient health care needs, in 3 of 11 clinical records reviewed.

The home health agency failed to ensure the skilled nurse assessed the patient's wound in accordance with the medical plan of care and agency guidelines, in 1 of 3 clinical discharge records reviewed, out of a total sample of 11 clinical records reviewed.

The home health agency failed to ensure the skilled nurse followed all tasks in the medical plan of care in 2 of 10 clinical records reviewed with skilled nursing services, out of a total of 11 clinical records reviewed.

The home health agency failed to ensure the skilled professionals submitted accurate and clear clinical notes each visit in 4 of 11 clinical records reviewed.

The home health agency failed to ensure the physical therapist and occupational therapist supervised the physical therapy assistant and occupational therapy assistant in 2 of 9 clinical records reviewed of patients with therapy services, out of a total sample of 11 clinical records reviewed.

The Administrator failed to ensure schedules submitted by staff were correct and was congruent to the day and time the patient and family received the visits from staff in 1 of 8 active clinical records reviewed.

The home health agency failed to ensure all clinical records contained accurate responses to all interventions with the agency client in 1 of 11 clinical records reviewed.