Guardian Home Health Care of la., Inc.

The agency failed to maintain a coordinated agency-wide infection control program to prevent the spread of infections by tracking and trending.

The agency failed to reconcile medications at every skilled nurse visit to maintain an accurate record of patients’ medications.

The agency failed to ensure patients receive all visits as ordered by the physician for 3 (Patient #1, Patient #3, and Patient #4) of 10 sampled patients.

The agency failed to ensure a nurse completed a supervisory visit for a Home Health Aide every 14 days for 1 (Patient #1) of 10 total patients sampled.

The agency failed to ensure weekly wound care measurements and/or assessments were completed to monitor for wound status for 3 (Patient #3, Patient #4, and Patient #7) of 10 sampled patients.

The agency failed to ensure visitors were screened for signs and symptoms of COVID-19 (coronavirus 19) per CDC (Centers for Disease Control) guidelines.

The agency failed to notify the physician of a change in wound status for 1 of 4 patients (Patient #4) reviewed for wounds in a total sample of 10 patients.

The agency failed to: 1. Ensure care and services were provided per the frequency ordered by the physician for 2 of 10 sampled patients (Patient #2 and Patient #3) reviewed for care and services; 2. Ensure pulse oxygenation levels were obtained per the plan of care for 1 of 10 sampled patients…

The agency failed to ensure each patient received services that were written in the individualized plan of care for 1 (Patient #1) of 5 patients reviewed for care and services in a total sample of 5 as evidenced by the agency failing to: I.

The agency failed to follow accepted standards of practice to prevent the transmission of infections for 1 of 1 patients observed for infection control practices during wound care in a total sample of 5 (Patient #3) as evidenced by the agency failing to ensure S4RN removed gloves and used hand…

The agency failed to care and services were provided in accordance with clinical practice guidelines and professional standards of practice for 1 of 1 patients observed during a home visit in a total sample of 5 (Patient #3) as evidenced by the agency failing to ensure S4RN accurately measured the…

The agency failed to ensure that the total plan of care was signed and dated by the patient's physician for 7 (#1#2, #3, #4, #5, #6, #7) of 7 (#1-#7) sampled patients.

The agency failed to have the Plan of Care (PoC) reviewed and revised by the physician no less frequently than every 60 days, beginning with the SOC (start of care) date.

The agency failed to ensure that the clinical record contained pertinent current findings in accordance with accepted professional standards for 1(Patient #5) of 7 (Patients #1-#7) as evidenced by no documentation of a completed and signed Plan of Care/485 within Patient #5's clinical record.