Heritage Home Care - Las Cruces Inc.

The agency failed to ensure supplies were not expired in the supply closet.

The facility failed to provide supervision for the Physical Therapy Aide (PTA) by the Physical Therapist (PT) for 1 (P(patient) 9 out of 10 (P1-P10) patients reviewed.

The agency failed to update the plan of care to include a verbal wound care order for 1(P(patient) 4 out of 10 (P1-P10) patients reviewed.

The facility failed to provide patients with a written schedule of visits for 3 (P [patient] 8, P9, P10) of 3 (P8-10) patients reviewed for care provided by homecare staff.

The facility failed to maintain and update the Emergency Preparedness manual (binder) with current annual Hazard Vulnerability Assessments, also known as a Hazard Vulnerability Analysis (HVA) (used to show hazards or risks that can impact a healthcare facility and the surrounding community), and a…

The facility failed to maintain an ongoing program to inform the Governing Body (professional advisory committee) of issues within the Quality Assurance and Performance Improvement (QAPI) to make sure adequate and effective operation in the areas of clinical care and to discuss concerns that will…

The facility failed to maintain a sanitary environment (an environment that is hygienic, clean, and conducive to infection prevention) as boxes of medical supplies were on the training room floor.

The facility failed to ensure that items utilized for direct patient care are furnished appropriately by not using items passed expiration dates and not identified as being under an extended use authorization by the United States Food and Drug Administration.

The agency failed to make sure a consistent method is in place to provide samples of complaints and grievances which shows how the facility handled ongoing complaints received, investigated, and resolved.

The facility failed to provide ongoing interdisciplinary assessment (assessment of patient attended by all disciplines involved in treatment) of the 34 patients reviewed.

The agency failed to maintain a coordinated agency-wide program for the surveillance of infection for 2 (P #6 and #8) of 9 (P #1-9) patients.

The agency failed to ensure the initial assessment was completed within 48 hours of the referral date to the Home Health agency for 2 (P #4 and #5) of 9 (P #1 through #9) randomly selected sampled patients.

The agency failed to reconcile medications for 1 (Patient #6) of 3 patients sampled.

The facility staff failed to provide ongoing education and training for care to the patient or caregiver for a suprapubic Foley catheter (tube to drain urine into a bag) for 1 (P#8) of 1 patients.

The agency failed to maintain documentation of competency for 1 of 11 (S#4) of 11 (S # 1-11) agency staff.