Home Health Services of Mary Lanning Memorial Healthcare

The agency failed to update the physician to modify the plan of care for 3 of 7 clinical records reviewed (Patient 4, 5, and 7) when visits were missed and/or the patient declined ordered services.

Failed to utilize proper cleaning of patient equipment and supplies and multiuse equipment, proper hand hygiene/glove use, and proper bag technique according to the agency policies to prevent the potential spread of infection.

The agency failed to include the patients progress towards the measurable outcomes and goals identified by the home health agency and the patient on the revised/updated plan of care for 1 of 1 clinical record reviewed that had a revised/updated plan of care (Patient 1).

Registered Nurse (RN)-D and Physical Therapist (PT)-G) failed to place a barrier between the nursing bag and the surface the bag rests on in the patient's home for 3 of 3 home visits (Patient 1, 2, and 3).

Outlining the rights of a patient admitted to the agency and staff interview the agency failed to revise the Home Health Rights/ Responsibilities form to include rights as outlined in regulation at §484.50 (a) (3); §484.50 (c) (12); §484.50 (d) (1); and §484.50 (d) (5) (ii) implemented on 1/13/18.…

Agency policy and procedure and staff interviews the agency failed to conduct a patient assessment within 48 hours of referral of a patient (Patient 1) for services.

The agency grievance/complaint file and staff interview the agency failed to formulate a individualized plan of care outlining the specific supplies needed and/or provide the supplies needed for colostomy care for 1 of 3 patients (Patient 1) reviewed who required colostomy (an opening in the…

The agency failed to document a physician's verbal order for Patient 1's referral to the agency for Physical Therapy services.