Divinity Home Health Services, LLC

The agency failed to ensure the agency maintained a coordinated program for the surveillance and identification of infections for 5 (Patient #2, Patient #5, Patient #8, Patient #12, Patient #15) of 12 sampled patients reviewed for infection control investigations.

The agency failed to ensure an accurate review of all medications that were prescribed for 1 (Patient #7) of 7 sampled patients observed for medication reconciliation during home visits.

The agency failed to ensure the registered nurse measured a patient’s wound weekly to assess for wound healing status for 1 (Patient #12) of 15 sampled patients reviewed for weekly wound care assessments.

The facility failed to prevent the spread of infections by failing to have a nurse change contaminated gloves and perform hand hygiene prior to dressing a clean wound for 1 (Patient #1) of 5 patients sampled for home visits.

The agency failed to reconcile medications at every skilled nurse visit to maintain an accurate record of patients’ medications.

The agency failed to only administer treatments as ordered in the Plan of Care by the physician.

The agency failed to notify the physician of changes in a patient’s condition.

The agency failed to ensure an accurate medication reconciliation for 4 of 7 patients whose medications were reviewed during home visits in a total sample of 17 (Patient #2, Patient #4, Patient #6, and Patient #8).

The agency failed to ensure the patient's physician was notified of vital signs outside of physician ordered parameters for 2 of 17 patients reviewed for physician notifications in a total sample of 17 (Patient #11 and Patient #12).

The agency failed to ensure the registered nurse provided wound care and skilled visits per the plan of care for 1 of 17 patients reviewed for services provided per the plan of care in a total sample of 17 (Patient #11).

Agency failed to ensure the registered nurse or therapist completed a home health aide supervisory visit every 14 days for 2 of 3 patients reviewed for home health aide supervisory visits in a total sample of 17 (Patient #2 and Patient #15).