Healing Hands Home Health Inc

The agency failed to ensure the Registered Nurse provided Skilled Professional Services in accordance with current clinical practice guidelines as set forth by the Louisiana State Board of Nursing Declaratory Statement for Scope of Practice for Registered Nurses - Wound Care Management and accepted…

The agency failed to ensure each patient’s plan of care included nutritional requirements, patient-specific interventions, and/or measurable outcomes and goals for 2 (#1 and #2) of 2 patients reviewed.

The agency failed to ensure wound care orders were recorded on the plan of care for 1 (#2) of 2 patients reviewed with wounds.

The agency failed to ensure wound care was provided as ordered by the physician for 1 (#2) of 1 resident observed for wound care.

The agency failed to ensure a physician’s order for Physical Therapy was integrated into the patient’s plan of care for 1 (#1) of 2 patients reviewed.

The agency failed to ensure the patient’s comprehensive assessment included a review of all medications the patient was currently using.

The agency failed to measure, analyze and track quality indicators, including adverse patient events, and other aspects of performance that enable the home health agency to assess processes of care, agency services and operations.

The Home Health Agency failed to annually conduct and document a minimum of one performance improvement project undertaken, the reasons for conducting the project, and measurable progress achieved on that project.

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

The agency failed to take action aimed at performance improvement, measure the success of the actions taken and ensure the improvements were sustained.

The agency failed to provide services ordered by the physician for 1 (#6) of 7 (#1 - #7) sampled patients.

The agency failed to ensure predesignated staff were available during the hours of operation posted on the entrance door of the agency as 9:30 a.m. - 4:30 p.m.

The home health agency failed to ensure the contents of the clinical record included a completed discharge summary for 2 of 2 (#3,#7) closed records reviewed.