Healthview Home Health & Hospice, LLC

The agency failed to complete the initial comprehensive physical therapy assessment within 5 days of the admission for 1 of 4 discharged patients (#2).

The agency failed to include bleeding precautions in the plan of care for 5 of 11 patients with orders for anti-platelet and/or anticoagulant medications (used to prevent blood clots) (patient #’s 5, 6, 10, 11, & 13).

The agency failed to include an order for wound care for an insertion site for a suprapubic catheter (device inserted through an abdominal incision into the bladder to drain urine) for 1 of 1 patient with a suprapubic catheter, (patient # 6).

With tunneling.” LPN #10 was not available for an interview.

The agency failed to notify the physician of a delay in a physical therapy evaluation for 1 of 9 (#2) patient with an order for physical therapy; and failed to provide an update to the physician for 1 of 1 patient with a request to contact the physician (#2); and failed to notify the physician of…

The agency failed to provide emergency preparedness training upon hire and at least every two years for 2 of 3 personnel files reviewed (RN #1 and Physical therapy assistant #6).

Agency emails and staff interviews the agency failed to analyze the effectiveness of the emergency plan placed into effect related to a weather emergency event . The findings included: The policy, Emergency Preparedness Program and Plan, was provided by the office manager on 4/12/23 at…

The agency failed to accurately assess patients’ status on the OASIS (Outcome and Assessment Information Set—standardized assessment) for 4 of 13 active patients (#1, 3, 10, 4).

Staff interviews the agency failed to provide home health aide services to 1 of 1 patients with aide services ordered on the Plan of Care [POC] [#15]. The findings included: The policy, CMS # 485 and Physician Orders [3/2018], was provided by the office manager on 4/11/23 at 12:26 pm.

Direct observation and staff interviews the RN failed to use proper hand hygiene/or change gloves appropriately for 1 of 6 patients who received a home visit [#6]. The findings included: The Centers of Disease Control and Prevention Hand Hygiene guidance stated, “… Healthcare personnel should use…

Staff interviews the SN [skilled nurse] failed to assess PICC [peripherally inserted central catheter] line measurements for 1 of 2 patients with a PICC line [#17]. The findings included: The policy, PICC Line Dressing change [no date], was provided by the agency director on 4/11/23 at 4:10 pm.

The agency failed to conduct the initial assessment within 48 hours of referral or on the physician ordered start of care date for 10 of 18 patients (#3, 5, 10, 11, 12, 2, 6, 8, 14 and 15).

The agency failed to conduct evaluations per the referral within five days for 8 of 12 patients with therapy ordered on the referral (#5, 9, 11, 12, 6, 8, 14, and 17).

The agency failed to complete the OASIS every 60 days for 1 of 5 discharged patients (#16).

The agency failed to complete the resumption of care [ROC-comprehensive assessment completed after the patient has an inpatient admission] within 48 hours after the patient returned home for 1 of 5 discharged patients [#13]. The findings included: Patient # 13 had a Start of Care date of 12/13/22…

The agency failed to include current medications on the Plan of Care for 10 of 18 patients (#3, 9, 10, 11, 16, 4, 6, 7, 8, and 17); and to include PICC line (peripherally inserted central line) and lab orders on the Plan of Care for 1 of 2 patients with a PICC line (#16).

The agency failed to notify the physician of changes in patients’ condition for 4 of 18 patients reviewed (#1, 3, 12, and 15); failed to notify the physician for orders related to a wrist fracture for 1 of 1 patient admitted with a wrist fracture [#5]; and failed to notify the physician of visits…

The clinical notes did not accurately reflect the patient status for ___ of ___ patients (#1, 2, 10, 12).

Staff interviews the Skilled nurse failed to contact the physician prior to advising patient to stop taking medication for 1 of 5 discharged patients [#15]; and failed to notify the physician when the patient requested a Hospice consult for 1 of 5 discharged patients [#15]. The findings included…

The RN failed to include an order to remove a PICC line (peripherally inserted central line) and discharge a patient for 1 of 2 patients with a PICC line (#12).

The agency’s skilled nurses failed to measure the length of a peripherally inserted central catheter (PICC) for 1 of 1 patients with a PICC (Patient #1).

The agency failed to notify the physician regarding a change in the appearance of wound drainage for 1 of 3 patients with wounds (Patient #1).

Staff interviews the agency failed to follow the Plan of Care [POC] related to PICC [peripherally inserted central catheter] line measurements for 1 of 1 patient [#2]; the size of an indwelling catheter 1 of 1 patient with an indwelling catheter [#11]. The findings included: The policy, Plan of…

The agency failed to conduct an initial assessment within 48 hours of referral for 5 of 14 patients (#1, 3, 5, 7, and 10).

Caregivers the Plan of Care [POC] failed to include all medications for 4 of 14 patients [#2, 6, 8, 11]; pertinent functional limitations for 2 of 14 patients (#7 and 8); and patient specific interventions for 2 of 14 patients (#8 and 3).

Staff interviews the agency failed to include orders on the Plan of Care for suprapubic catheter change for 1 of 1 patient with a suprapubic catheter[device that is inserted into the bladder to drain urine] [#6];failed to include orders for a wet to dry dressing for 1 of 6 patients with a wound…

Staff interviews the agency failed to alert the physician of changes in the patient's condition for of 1 of 3 discharged charts reviewed [#11]; and of a patient using oxygen outside the prescribed dose for 1 of 3 patients with oxygen (10); and failed to notify the physician of changed in wound…

Infection control standards related to wound care were not adhered to for one of one patient (#1) who was provided wound care, The findings include: According to the agencies Infection control policy, received from RN#1E on 4/4/18 at 11:23 am, "Aseptic Technique: Use of added precautions in any…

The agency failed to review all medications during the comprehensive assessment for six out of ten patients (#1, 3, 6, 5, 4 and 8).

The Plans of Care lacked the following -psychosocial status; cognitive status; risk for emergency department visits and hospital re-admissions; patient and caregiver education and training to facilitate a timely discharge; and, information related to advanced directives for nine out of ten patients…