In House Home Health Inc.

The agency failed to ensure a plan of care included a list of skilled nursing interventions for 1 of 8 sampled patients (Patient #8).

The agency failed to ensure it conducted or discontinued an occupational therapy evaluation for 1 of 8 sampled patients (Patient #1) and failed to ensure skilled nursing visits were conducted as ordered for 1 of 8 sampled patients (Patient #5).

The agency failed to document wound measurements for 1 of 8 sampled patients (Patient #2), skilled nursing visit assessments for 1 of 8 sampled patients (Patient #5) and failed to include a wound care order and calmoseptine on successive plans of care for 1 of 8 sampled patients (Patient #6).

The home health agency (HHA) failed to ensure that it had an effective Quality Assessment and Performance Improvement (QAPI) program that investigated and analyzed adverse patient events capable of demonstrating measurable improvement in patient outcomes and safety.

The home health agency (HHA) failed analyze infection tracking data and investigate potential problems, trends, or causative factors that could contribute to the rate or transmission of infection.

The home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based medical record system.

The home health agency (HHA) failed to ensure the accuracy of the medications and treatment listed on the plan of care (POC) and signed by the physician for two of ten patient's (Patient (P)4 and P6) medical records reviewed.

The facility failed to obtain a physician's order for a change in the plan of care for 2 of 10 patients.