Infirmary Homecare

The agency failed to follow Plan of Care (POC) ordered visit frequency.

The agency failed to ensure: a.

The agency failed to ensure the staff documented accurately in the patient record.

The agency failed to provide the patient with notification prior to discharge.

The agency failed to document efforts to resolve the problem prior to discharge.

The agency failed to ensure medications were reconciled to include all current medications and dosages.

The agency failed to include patient specific interventions, measurable outcomes and goals for a peripherally inserted central catheter (PICC) in the plan of care (POC).

The agency failed to ensure: 1. Wounds were measured per the agency policy.

The agency failed to ensure physician orders were followed for pulse oximetry, visit frequency, and wound care.

The agency failed to follow their policy on infection control including hand hygiene (HH), PICC (Peripherally Inserted Central Cather) line care, venipuncture and cleaning of devices.

The agency failed to ensure the medications were current for 4 of 17 MR's reviewed, including Home Visit (HV) # 1, MR # 9, HV # 3 and HV # 7 and had the potential to affect all patients served by the agency.

The agency failed to ensure the relevant physician was notified of Wound VAC (Vacuum-assisted closure) treatments not being provided in home.

The agency failed to ensure the patients and/or caregivers (pt/cg) received education and training appropriate for care.