Hca Florida Healthcare at Home

The agency failed to ensure the requirements in the Conditions of Participation for Patient Rights were met by failing to provide services after accepting patient referrals for 5 of 5 sampled patients (Patient #s 1, 2, 3, 4, and 5).

The agency failed to ensure the requirements in the Conditions of Participation for Comprehensive Assessment of Patients were met by failing to perform comprehensive assessments within 48 hours of accepting referrals for 5 of 5 sampled patients (Patient #s 1, 2, 3, 4, and 5).

The agency failed to ensure the requirement in the Condition of Participation Organization and Administration of Services were met by failing to provide services for accepted patient referrals for 5 of 5 sampled patients.

The agency failed to conduct Initial Assessments by a Registered Nurse (RN) within 48 hours of the referral for 5 of 5 sampled patients.

The agency failed to document problems with acceptance of patients with appropriate referrals and physicians' orders and to document the efforts made to resolve those problems for 5 of 5 sampled patients.

The agency failed to conduct Initial Assessments by a Registered Nurse (RN) within 48 hours of the referral for 5 of 5 samples patients.

The agency failed to notify physicians for services ordered but not provided for 5 of 5 sampled patients.

The agency Administrator failed to ensure the home health agency had a system in place to track all patient referrals to ensure all services were provided.

The agency failed to coordinate referrals to ensure patients received all services as ordered for 5 of 5 sampled patients.

The agency failed to follow the Plan of Care and provide wound care and PICC line dressing changes per physician's orders for 1 of 3 sampled patients.

The agency failed to follow the Plan of Care and provide wound care and PICC line dressing changes per physician's orders for 1 of 3 sampled patients.

The agency failed to coordinate care and treatments for wound care and intravenous therapy with patient's representative for 1 of 3 sampled patients.