Enhabit Home Health

The agency failed to have a signed plan of care (POC) or a verbal POC order from the primary physician prior to providing services and treatments to patients for 14 of 17 patients, with the potential to affect all patients on service.

The agency failed to ensure written medication and home health aide instructions outlining care were provided to the patient for 1 of 1 home health aide visit.

The agency failed to ensure all medications were checked for drug reactions and side effects for 4 of 4 skilled nurse home visit observations.

The agency failed to maintain an updated individualized plan of care (POC) for 4 of 7 record reviews.

The Administrator failed to ensure physical therapy services were provided for 1 of 10 record reviews with physical therapy services (Patient #16) and failed to ensure staff completed all documentation on the day patient visits were assigned for 7 of 17 record reviews.

The agency failed to include the use of volunteers within the emergency preparedness communication plan for the agency for 1 of 1 agency.

The agency failed to ensure standard infection control precautions were followed for 1 of 7 home visit observations (Patient 1); and failed to screen visitors for Covid-19 upon entry into the agency for 3 of 4 survey visit dates.

The agency failed to ensure the skilled nurse followed the plan of care when administering tube feedings for 1 of 17 (Patient #1) clinical records reviewed.

The agency failed to ensure clinicians followed recognized infection control procedures and the agency's policy related to hand hygiene for 1 of 7 home visit observations.

The agency failed to administer tube feedings as ordered by a physician for 1 of 17 (Patient #1) clinical records reviewed.

The agency failed to follow policy and assess the patient regarding placement verification of a g-tube [gastric tube inserted into the stomach to provide nutrition] prior to administering nutrition in 1 of 7 (Patient #1) home observations.

The skilled nurse failed to ensure tube feedings were administered as ordered in the plan of care for 1 of 17 (Patient #1) clinical records reviewed.