Eamc - Lanier Home Health

The agency failed to keep the medication profile current.

The agency failed to ensure staff followed the physician's order for wound care.

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

The agency failed to ensure staff educated the patient and/or caregiver on sliding scale insulin administration.

The agency failed to follow the physician orders for the following: 1. Teaching a diabetic patient how to use a new blood glucose monitor.

The agency failed to ensure staff followed infection control practices for hand hygiene and glove use in one of five HV (Home Visits) for wound care and assessment.

The agency failed to update the medication list (ML) per policy.

The agency failed to assess a diabetic patient's daily blood glucose test results for therapeutic range as ordered.

The Home Health Aide (HHA) failed to follow the Aide Care Plan Report (ACPR) and: a) Complete all tasks assigned by the Registered Nurse (RN). b) Notify the RN when services were not provided as ordered, and for possible change in the Plan of Care (POC). c) Document the care provided to the patient…

The staff failed to follow their own internal process for patient grievances which included documentation of the complaint investigation, address complaint findings and complete follow-up through with the complainant regarding the resolution.

The agency staff failed to follow the plan of care for visit frequency.

The agency failed to update patient's plan of care (POC) to include diabetic testing frequency and patient specific parameters for blood glucose levels.

Staff failed to perform hand hygiene and change gloves when cleaning multiple wounds in close proximity.

The agency failed to ensure nursing staff performed and documented all care ordered and provided according to agency policies during: 1) PICC (peripherally inserted central catheter) exit care, cap change, lab draw procedure and PICC removal. 2) Negative Pressure Wound Therapy (NPWT) via a VAC…

The agency failed to ensure medications were reconciled in 2 of 5 home visit records.

The agency staff failed to notify the physician of changes in patients' conditions including blood glucose levels out of patient ranges, pain and changes in the patient's overall condition.

The agency failed to perform and document patient/caregiver education and wound care competency verified in 1 of 3 wound records reviewed.