Human Touch Home Health Care Agency

The agency failed to provide evidence of the governing body authority and responsibility for the agency's overall management and operation, the provision of all home health services, fiscal operations, review of the agency's budget and its operational plans, and its quality assessment and…

The agency failed to ensure an individualized plan of care included all medications and treatments for 2 of 7 active patients reviewed (Patients #2 and #3).

The agency failed to ensure nursing professional services communicated with the physician regarding changes in condition and to obtain orders for changes to the plan of care for 1 of 7 active patients reviewed (Patient #3).

The agency failed to ensure services and treatments were provided in accordance with physician's orders for 1 of 3 discharged patient's (consumer) records receiving Home Health Aide (HHA) services (Patient #9).

The agency failed to coordinate an agency-wide program for the surveillance, identification, prevention, control and investigation of infectious and communicable disease.

The agency failed to ensure services and treatments were provided in conformance with physician orders for 2 of 3 patients reviewed who received home health aide/certified nurse aide (HHA/CNA) services (Patients #1 and #2).

The agency failed to ensure home health Aide (HHA) supervision occurred at least every 14 days for 2 of 3 patients receiving home health aide/certified nurse aide (HHA/CNA) services (Patient #2 and #3).

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 1 patient during a sterile dressing change.

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professionals prepared patient-specific written care instructions for the home health aide (HHA)/certified nurse aide (CNA) in 3 of 3 patient records reviewed where the patient was receiving CNA services (Patients…

The agency failed to investigate complaints made by two patients that their treatment or care was furnished inappropriately.

The agency failed to ensure a registered nurse (RN) completed an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral for 2 of 10 patient records reviewed (Patients #2 and #10).

The agency failed to create individualized Plans of Care which included all medication and treatments for 6 of 10 patient records reviewed (Patients #1, #2, #3, #4, #5 and #9).

The agency failed to ensure home health aides (HHA)/certified nurse aides (CNAs) provided services as ordered by the physician, included in the Plan of Care, and consistent with home health training for 3 of 3 patients reviewed who were receiving CNA services (Patients #4, #6 and #7).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 5 of 10 patient records reviewed (Patients #4, #6, #8, #9 and #10).