In Homecare Network North LLC

The home health agency failed to review the plan of care (POC) with the attending physician for 1 of 2 active clinical records with an occupational therapist OT Evaluation in the last month (Patient #3) and 1 of 2 active clinical records reviewed with a registered nurse (RN) recertification in the…

The home health agency failed to ensure patients were informed of a delay in start of therapy services for 2 of 2 records which evidenced a lapse in time for therapy service(s) initiation (Patient #2 and 5).

The home health agency failed to ensure an initial assessment was completed by a registered nurse (RN) within 48 hours of referral for 1 of 3 active patients reviewed with SOC in the last 4 weeks (Patient #3).

The home health agency failed to ensure the plan of care included all safety measures to protect against injury for 3 of 7 active records reviewed (Patients #1, 4 and 6).

The home health agency failed to ensure frequency orders were received and recorded prior to staff providing services for 5 of 7 active records reviewed (Patients #2, 3, 5, 6 and 7).

The home health agency failed to ensure all verbal orders were entered into the electronic medical record and sent to the physician / attending practitioner for signature for 4 of 7 active records reviewed (Patients #2, 3, 5 and 6).

The home health agency failed to document collaboration with the physician prior to discharge from physical therapy (PT) services for 1 of 1 active patient records reviewed with a PT discharge (Patient #3).

DPS: Based on record review and interview, the home health agency failed to send a transfer summary to the health facility to which the patient was transferred for 3 of 3 transferred patient records reviewed (Patient #8, #9, #10.) Findings include: 1. Policy #2.1.004 “Patient Discharge/Transfer…

The governing body failed to appoint the alternate administrator, in writing.

The agency failed to ensure skilled nurses followed the medical plan of care for visit frequency for 1 of 10 clinical records reviewed (Patient #1) and failed to ensure the skilled nurse assessed the patient's risk of reoccurrence of urinary tract infections, urinary retention, and patient/…

The agency failed to ensure the home health aide complied with infection control practices related to bag technique during a home visit for 1 of 1 home health aide visit observation.

The agency failed to ensure home health aide care plan include safety or care precautions regarding the patient's dialysis CVC (Central Venous Catheter) for 1 of 1 home health aide observations (Patient # 4 and Employee D).

The agency failed to ensure the registered nurse, occupational therapist, and physical therapist completed an accurate comprehensive assessment of a patient's current health status to include the presence of an invasive device, a CVC (Central Venous Catheter), located in the subclavin artery and…

The agency failed to ensure the comprehensive assessment for a dialysis patient included goals for the CVC (Central Venous Catheter) dialysis catheter to include site care education, safety measure and precautions, infection prevention measure and signs of complications to report in 1 of 1 patient…

The agency failed to ensure the plan of care included all DME (durable medical equipment), catheters and supplies for 3 of 10 records reviewed (Patient's # 3, 6, 8), to ensure the presence of a CVC (Central Venous Catheter) was documented, the safety and care interventions of the CVC, and goals…

The skilled nurse failed to document and/ or appropriately assess a patient for risk of reoccurrence of urinary tract infections, urinary retention, and patient/ caregivers ability to manage self catheterization as ordered per the medical plan of care in 1 of 1 self catheterization patients…

The skilled nurse failed to ensure services were provided per the medical plan of care for 1 of 10 clinical records reviewed (Patient #1) and failed to ensure patient's were assessed risk of reoccurrence of urinary tract infections, urinary retention, and patient/ caregivers ability to manage self…

The administrator failed to follow agency policy and ensure employees with direct patient contact had a physical examination before providing patient care for 1 of 8 personnel records reviewed.