Guthrie Home Health
Inspection 2023-08-16
· Recertification · 8 deficiencies · CMS source report (PDF)No action plans were seen for the areas that were not in compliance with the report, which reflected a lack of input from the PAC.
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The skilled nurse (SN) failed to follow accepted standards of infection control practices.
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The agency failed to ensure the registered nurse (RN) conducted an initial assessment of the patient within forty-eight (48) hours of referral, the patient's return home, or on the physician-ordered start of care date in 3 of 17 patients (patients #3, 16, and 17).
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In 4 of 17 patients (patients #5, 9, 15, and 17) the agency failed to ensure comprehensive assessments were of sufficient scope to identify all patient needs.
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In 7 out of 17 records (patients #1-4, 7, 14, and 17) the skilled nurse (SN) failed to perform comprehensive medication reviews.
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In 4 of 17 records (patients #7, 11, 16, and 17) the agency failed to develop complete and accurate plans of care that were individualized to address the total needs of the patients.
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For 6 out of 17 records (patients #11, 12, and 14-17) the skilled nurse (SN) failed to notify the physician when changes in the patient's condition occurred.
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In 4 out of 17 patients (patients #3, 11, 14, and 17) the agency staff failed to provide coordinated care to meet the needs of the patients.
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Inspection 2020-09-29
· Recertification · 6 deficiencies · CMS source report (PDF)In 5 out of 17 records (Patients # 1, 4, 5, 9 and 13) the agency failed to ensure initial comprehensive assessments were of sufficient scope to ensure all patient needs were identified.
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The skilled nurse (SN) failed to follow accepted standards of infection control practices.
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The SN failed to ensure the patient's aide care included complete and updated instructions as follows: Edema The 09/12/19 plan of care included compression stockings during the day and off at night, to be applied and removed by spouse.
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In 5 out of 17 records (Patients # 1, 5, 6, 15 and 17 ), the agency failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.
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For 4 out of 17 records (Patients # 8, 13, 15 and 17 ), the Skilled Nurse (SN) failed to consult with the physician when changes in the patient's condition occurred.
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In 3 records (Patients # 2, 16 and 17 ) the clinicians failed to effectively coordinate patient care.
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