Enhabit Home Health

The agency failed to ensure services and treatments were administered by agency staff only as ordered by a physician for 1 of 2 active patient records reviewed who received skilled nursing services (Patient #1).

The agency failed to ensure each patient received home health services in accordance with a written plan of care established and periodically reviewed by a physician.

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 1 patient observed during a patient assessment, blood sugar (BS) testing and insulin injection (Patient #2).

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professionals prepared and updated patient-specific written care instructions for the home health aide (HHA)/certified nurse aide (CNA) for 1 of 4 patient records reviewed where the patient was receiving CNA services…

The agency failed to ensure each patient's Plan of Care covered all pertinent orders and treatments for 3 of 12 active patient records reviewed (Patients #3, #7 and #11).

The agency failed to ensure the registered nurse (RN) provided care in conformance with physician's orders and as indicated in the plan of care for 2 of 12 active patients reviewed, who were receiving skilled nursing services (Patients #3 and #12).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 5 of 17 patient records reviewed (Patients, #2, #3, #6, #7 and #13).

The agency failed to ensure a completed discharge summary was provided within five business days to the physician responsible for the care of the patient in 2 of 2 discharged patients reviewed who transferred to hospice care (Patients #13 and #16).