Elite Professionals Home Care Company

The agency failed to ensure patient’s medication orders, on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medication) were accurate for 8 of 17 (Patients 2, 4, 5, 6, 7, 10, 13, and 14) patient records reviewed and/or failed to ensure…

The agency failed to follow their policy and procedure to ensure verbal orders were put into writing when received, for authentication by the ordering physician for 2 of 17 (Patient 2 and 14) patient records reviewed.

Staff interview the agency failed to include the progress towards the patient and agency identified goals on the revised plan of care for 7 of 7 (Patient 2 , 3, 4, 5, 9, 10, and 16) patients who had a revised plan of care.

The agency failed to ensure timely coordination with all physicians involved in the plan of care for 1 of 17 (Patient 5) patient records reviewed and failed to have a policy and procedure for coordination of care.

The agency failed to conduct an onsite visit by the registered nurse (RN) at least every 14 days to the home of 2 of 4 (Patient 2 and 16) patients who received home health aide (HHA) services to ensure the care and services provided are meeting the needs of the agency patient.

The agency failed to ensure 4 of 7 staff (Staff- J, L, N, and O), observed during the provisions of care to 4 of 7 (Patients 1, 3, 5, and 18) respectively, performed appropriate hand hygiene, cleaning of equipment, and/or use of clean bag technique according to the agency's policies and procedures.

Agency policy and procedure and staff interview the agency failed to safeguard the clinical records for 2 of 5 patient records reviewed (Patient 1 and 2), as the agency was unable to locate the narcotic count sheets and medication administration records (MAR) for Patient 1 from 9/20/17 through…

The agency failed to investigate potential misappropriation of narcotic medications for 2 of 2 patients (Patient 2 and 1) following the identification of a discrepancy in the number of narcotic medications available for the patient's use.

Patient and staff interviews the agency failed to ensure 1 of 5 patients reviewed (Patient 2) received pain medications as ordered by the physician, as the agency failed to ensure the patient had an adequate supply of OxyContin (a narcotic analgesic) 60 milligram (mg) tablets or Oxycodone 10 mg/325…

Agency Home Health Aides/Medication Aides (HHA/MA) failed to follow the HHA/MA plan of care as written and directed by a Registered Nurse for 1 of 5 patients reviewed (Patient 1).