Focus Health

The agency failed to follow standards of practice for one of seven sampled home visit patients (Patient 3) when License Vocational Nurse (LVN) 1 did not disinfect prothrombin (PT -a blood test that measures how long it takes for blood to clot/ International Normalized Ratio (INR- standardized way…

The agency failed to ensure Certified Occupational Therapy (COTA) /Home Health Aide (HHA) receive 12 hours in-service training during each 12 month period for two of 17 sampled patients (Patient 8 and Patient 9).

The agency failed to involve the patient and their caregivers to participate in the development and ongoing updates of their plan of care (POC-a written document that describes the home health services and items that a patient needs, how often they will receive them, and what outcomes are expected…

The agency failed to ensure one of seven sample patients with home visits ( Patient 3) received all services according to the plan of care (POC- a written document that describes the home health services and items that a patient needs, how often they will receive them, and what outcomes are…

The agency failed to conduct a comprehensive assessment within five days of referral for three of 17 sampled patients (Patients, 2, 11 and 16).

The home health agency failed to ensure one of seven patients with homes visits (Patient 3) was provided notification of a change in prescribed medications dosage in his admission booklet (a document provided during the start of care, that contains important information for patients and their…

The agency failed to ensure one of seven sampled patients with home visits (Patient 3) was provided education on the Physician Order (PO-instructions written by a physician to other healthcare professionals regarding a patient's care plan) for 1.5 liters (L-units of measurement) of fluid…

The agency failed to follow standard precautions to prevent the transmission of infectious diseases for five of seven sampled patients with home visits (Patients 1, 4, 5, 6 and 7), when: 1. Registered Nurse (RN) 1 used a torn glove during wound treatment for Patient 1.

The agency failed to implement policies and procedures to ensure adherence to COVID-19 (a contagious serious respiratory infection transmitted from person to person cause by a virus) guidelines for one of two unvaccinated clinicians, when Physical Therapist Assistant (PTA) 1 did not use an N95 mask…

The agency failed to provide competency evaluations for one of one Home Health Aide (HHA) and one of one Licensed Vocational Nurse (LVN) 1 when: The agency did not verify documentation of a successfully completed competency testing for the HHA.

The agency failed to develop an updated Home Health Aide (HHA) care plan for one of 17 sampled patients (Patient 12) when Registered Nurse (RN) 2 did not update Patient 12’s aide care plan to reflect the change from shower to bed bath.

The agency failed to complete a comprehensive assessment for four of 17 sampled patients (Patients 3, 9, 10, and 17) when the agency did not provide: Physical Therapy (PT-treatment of injury by physical methods such as exercise rather than drugs or surgery) as ordered within five days of the start…

The agency failed to review all the medications and update the medication profile for four of seven sampled patients with home visits (Patient 1, 3, 4 and 6), when: Patient 1 had three medications with different dosages: Metoprolol (used to treat high blood pressure and chest pain), Furosemide…

The agency failed to provide treatment as ordered by the primary care physician (PCP) for seven of 17 sampled patients (Patient 1, 3, 5, 7, 10, 12, and 16) when: Skilled Nursing (SN) visit frequencies were not followed per PCP orders for Patients 3, 7, and 16. Physical Therapy (PT) visit…

The agency failed to communicate with the Primary Care Physician (PCP) revisions to the plan of care for one of 17 sampled patients (Patient 14), when Registered Nurse (RN) 3 did not inform the PCP of the updated frequency order for Skilled Nursing visits (SN) on the Start of Care (SOC).

The agency failed to communicate the discharge plans for one of 17 sampled patients (Patient 12), when Registered Nurse 2 did not communicate the discharge visit to the agency and a Skilled Nursing (SN) visit was done by a Licensed Vocational Nurse (LVN) after discharge.

The agency failed to integrate services for pain management for one of seven sampled patients with home visits (Patient 4), when Occupational Therapist (OT-clinician who practices a form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the…

The agency failed to provide services in the plan of care for two of seven sampled patients with home visits (Patient 4 and 5) when: Occupational Therapist (OT) 1 did not perform an oxygen saturation (O2 sat-referrers to the percentage of oxygen in a person’s blood) check during a home visit for…

The agency failed to provide supervision of Home Health Aides (HHA) by Registered Nurses (RN) for four of 17 sampled patients (Patients 1, 3, 5, and 16) every 14 days when: RN 1 did not provide oversight of the HHA during supervisory visits for Patient 1.RN 2 did not provide oversight of the HHA…

The agency failed to ensure the Occupational Therapist (OT) 1 assumed responsibility for identifying one of 17 sampled patient's (Patient 5) needs for durable medical equipment (DME) and safe home environment.

The agency failed to ensure the written notice of the patient's rights was provided, explained, and understood by Patient 6 and her caregiver/family.

The agency failed to conduct an initial assessment visit within 48 hours of referral, patient's return home, or on the physician- ordered start of care date, for three of 17 sampled patients (Patient 1, Patient 8 and Patient 9).

The agency failed to ensure comprehensive assessments/evaluations were completed no later than 5 calendar days after the start of care.(SOC) for 5 of 17 sampled patients (Patient 1, Patient 5, Patient 9, Patient 14, and Patient 15).

The agency failed to ensure the patient's physician was promptly informed of changes in the patient's condition for 1 of 17 sampled patients (Patient 2), when Patient 2's wound increased in size and the physician was not notified of this change.

The agency failed to communicate a delayed start of care (SOC) to the physician for one of 17 sampled patients (Patient 13).

The agency failed to follow the plan of care (POC) when: 1. The physician was not informed of missed visits for Patient 3, Patient 10, and Patient 11.

The agency failed to maintain home health aide (HHA) inservice documentation to demonstrate each HHA completed 12 hours of inservice every 12 months for one of two home HHAs (HHA 1), when HHA 1's personnel record did not contain aide specific inservice record.