Hancock County Health Department

3 of 3 patients (Pt #3, Pt #4, and Pt #5), where home visits were conducted, the Home Health Agency (HHA) failed to ensure all medications were reviewed for accuracy.

The Hancock County Health Department and Home Health failed to maintain an emergency preparedness plan that must be [reviewed] and updated at least every 2 years.

In 1 of 3 (Pt #5) records reviewed, the Agency failed to ensure the initial assessment visit for Occupational Therapy was conducted within 5 days of the referral date.

1 of 7 (Pt #1) patients records reviewed, the hospital failed to ensure the wound was measured and evaluated as ordered by the physician.

The occupational therapist failed to communicate with the physician regarding the missed visit which delayed patient services.

For 3 of 3 (E#3, E #4, E #5) contracted therapy personnel, the Agency failed to ensure its' emergency preparedness training included contracted therapy personnel.

In 1 of 4 (Pt #4) patients' records reviewed, whom receive Home Health Aide (HHA) services, the Agency failed to ensure care was provided per written instructions prepared by a skilled professional.

For 2 of 7 (Pt #3, Pt #7) patients, the Agency failed to ensure the Plan of Care (POC) included all the pertinent and required information, necessary to provide care and services to the patient.

In 1 of 1 (Pt #4) patient record reviewed, the Agency failed to ensure verbal orders were authenticated and a timeframe for completion requirement was incorporated into the policy.

In 3 of 4 (Pt #2, Pt #6, Pt #7) clinical records reviewed, the Agency failed to ensure services were provided per physician's order and within Agency's required timeframe.

In 1 of 4 (Pt #4) patients' records reviewed, whom receive HHA services, the Agency failed to ensure the Home Health Aide (HHA) provided service as ordered.

For 3 of 5 (E#2, E#6, E#7) direct care staff, the Agency failed to ensure job descriptions were completed, in accordance with its policy.

In 3 of 3 (E#3, E#4, E#5) contracted therapy personnel files reviewed, the Agency failed to ensure its' contracted therapy personnel were in compliance with the Agency's policies and procedures.