Home Health Care 2000-Baton Rouge

The Home Health agency failed to meet the Condition of Participation for Skilled Professional Services.

The agency failed to ensure each OASIS (Outcome and Assessment Information Set) was successfully transmitted to the Center for Medicare and Medicaid Services (CMS) system within 30 days of completion.

The agency failed to ensure the patient's written individualized Plan of Care (POC) was followed as evidenced by Skilled Nursing Visits (SNV) were not conducted as ordered, not attempted to be rescheduled, and the physician was not notified of the missed visits for 2 (#1 and #2) of 7 sampled…

The agency failed to ensure the RN provided home health agency services in accordance with current clinical practice guidelines as set forth by the Louisiana State Board of Nursing’s (LSBN) Declaratory Statement for Scope of Practice for RN’s - Wound Care Management and accepted professional…

The agency failed to maintain documentation of the efforts made to resolve problems prior to discharging a patient for 2 of 2 (#6 and #7) discharged patients reviewed.

The agency failed to ensure each patients’ comprehensive assessment included a review of all medications the patients were currently using.

The agency failed to ensure each patient’s Plan of Care (POC) included patient-specific interventions.

The agency failed to ensure the Plan of Care (POC) was signed by the authorized healthcare provider within 60 days for 1 (#3) of 7 sampled patients reviewed.

The agency failed to assure communication with all physicians involved in the Plan of Care.

The agency failed to ensure orders from the Provider for Occupational Therapy and Home Health Aide Services were integrated into the Plan of Care (POC) to ensure all services and interventions were provided to the patient for 1 (#7) of 7 sampled patients reviewed.

The agency failed to provide services as ordered by the physician in the Plan of Care (POC) for 3 (#1, #4, and #7) of 7 patient records reviewed.

The agency failed to ensure a physician was notified regarding a change in patient's status as evidenced by the agency failing to: 1. Ensure a patient's change in condition was communicated to the physician for 1 (#1) of 7 patient records reviewed; and 2. Ensure a patient's vital signs outside of…

The agency failed to ensure each patient’s clinical record contained all services and interventions provided and responses to those interventions for 1 (#1) of 7 sampled patients reviewed.

The agency failed to ensure a completed discharge summary was sent to the patients primary care practitioner (PCP) or other health care professional responsible for providing care and services to the patient after discharge within 5 business days of the patient’s discharge from the agency for 1(#6)…

The agency failed to ensure the Registered Nurse prepared written instructions for the Home Health Aide for 1(#6) of 2(#4 and #6) patients receiving Home Health Aide services.

The agency failed to provide services that were ordered by the physician as indicated in the plan of care for 1 (#2) of 7 (#1, #2, #3, #4, #5, #6, #7) patients reviewed.

The agency failed to ensure a Registered Nurse, who was familiar with the patient and the patient's plan of care, made an onsite visit to the patient's home no less than every 14 days for aide supervisory visits for 1 (#6) of 2 (#4 and #6) sampled patients' with Home Health Aide services.

The agency failed to ensure the patient's written PoC was followed as evidenced by the following: 1. PT visits not conducted as ordered for 1 (#4) of 3 (#1, #4, #6) sampled patient records reviewed with orders for PT services.

The agency failed to ensure conformance with physician orders for 2 (#1, #5) of 8 (#1, #2, #3, #4, #5, #6, #7, #8) patients reviewed.

The agency failed to ensure the total plan of care was signed and dated by the patient's physician in a timely manner for 1 (#6) of 8 (#1-#8) sampled patient records reviewed.