Decatur Morgan Homecare

The home health agency failed to ensure staff followed standard precautions for infection control while performing wound care.

The agency failed to keep the medication profile current.

The home health agency failed to ensure the skilled nurse (SN) obtained a physician order to include the strength of medication being administered intravenously at each SN visit.

The home health agency failed to ensure the skilled nurse (SN) assessed and documented wounds per policy.

The agency failed to ensure staff followed physician orders for performing wound care.

The agency failed to update the patients medication profile, and review the profile in order to identify any potential adverse effects.

The home health agency failed to obtain a physician order prior to administering a medication.

The agency failed to notify the physician for the following: 1. Blood glucose results outside of ordered parameters, including one critical blood glucose lab value.

The agency failed to meet the needs of all patients needing assistance with activities of daily living, including bathing, grooming, and dressing.

The agency failed to document wound care with NPWT (Negative Pressure Wound Therapy) per policy.

The agency staff failed to follow their policies and CDC guidelines for hand hygiene, bedbath and equipment cleaning in 2 of 7 home visits (HV) completed.

The agency failed to ensure the Client Medication Report (CMR) was current and accurate for all patient medications.

The agency failed to ensure: 1. The staff completed PICC (Peripherally Inserted Central Catheter) dressing changes and extension tubing changes per physician orders.

The agency failed to obtain and/or document verbal orders from the physician for all care provided for 2 of 17 records reviewed.

The agency failed to ensure the physician was notified of changes in the patient's condition in 4 of 17 sampled records affecting home visit (HV) # 1 and # 4, MR # 1 and # 4 and had the potential to affect all patients served by the agency.

The agency staff failed to ensure all initial evaluations were completed to meet patient needs and according to agency policy.

The agency failed to ensure: 1. Wound reassessments were conducted at least weekly and included measurements.

The agency staff failed to follow the physician's plan of care which included: 1. Oxygen saturation monitoring as ordered.

The staff failed to prepare clinical note documentation that included all interventions and services provided to meet patient needs.

The staff failed to complete and send a transfer summary for unplanned inpatient transfers per agency policy.