Integrity Home Care + Hospice

The home health provider failed to: -Ensure nursing staff followed the provider's policy and procedures regarding communication with patients and document a complete occurrence (incident) report (G702); and -Ensure nursing staff provided timely follow-up, assessment, instructions for notifying the…

The home health provider failed to ensure staff followed their policies and procedures regarding communication with patients in one of five records reviewed (Record/Patient #1).

The home health provider may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The home health provider failed to ensure the registered nurse (RN) provided timely follow up, assessment, instruction, and coordination for three of five patients sampled.

The home health provider failed to ensure staff documented all communication with the patient and failed to complete a comprehensive occurrence report in one of five records reviewed (Record/Patient #1).

The home health provider failed to ensure one employee received emergency preparedness training during orientation in one of six employee files reviewed (Employee #6).

The home health provider failed to ensure the patient received nursing services as ordered on the plan of care and the physician was notified of the missed visit in one of seven records reviewed (Record/Patient #1).

The home health provider failed to ensure the initial assessment visit occurred within 48 hours of referral in one of five full records reviewed (Record/Patient #3).

The home health provider failed to ensure the comprehensive assessment accurately reflected the patient's status in one of five full records reviewed (Record/Patient #4).

The home health provider failed to ensure staff performed a complete/accurate medication reconciliation and maintained an accurate/updated medication profile in four of five full records reviewed (Records/Patients #1, #2, #4, and #5).

The home health provider failed to ensure the plan of care (POC), included all equipment required, patient-specific interventions, and goals for all pertinent diagnoses in two of five full records reviewed (Records/Patients #4 and #5).

The home health provider failed to ensure nursing services were provided in accordance with the providers policy and procedures in one of three records reviewed (Record/Patient #3).

The agency failed to ensure an accurate medication review and/or update of the patient’s medications was completed in two (Records/Patients #1, and #3) of three full charts reviewed.

The agency failed to notify/communicate with the physician regarding patient care changes in one (Record/Patient #3) of three full records reviewed.

The home health agency failed to ensure that patients received a patient-specific comprehensive assessment that accurately reflected the patient's current health status which resulted in a complaint investigation with an immediate jeopardy level finding: - The comprehensive assessment must…

The agency failed to assure the staff followed accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in two (Records/Patients #4 and #5) of three home visits performed.

The agency failed to ensure the patient's current health status was assessed and documented in one (Patient/Record #1) of three records reviewed, and the agency failed to identify psychosocial needs of two (Patients/Records #4 and #8) of eight records reviewed.

The agency failed to perform a review of all medications the patient is currently using in order to identify any potential adverse effects, drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…

The agency failed to ensure the integration of orders from all physicians involved in the plan of care (POC) to assure the coordination of all services, interventions, and education was provided to the patients in two (Records/Patients #4 and #5) of three wound care records reviewed.

The agency failed to ensure skilled professional services / skilled nursing services participated in the coordination of care.

The agency failed to ensure skilled professional services / skilled nursing services assumed responsibility for providing services that are ordered by the physician as indicated on the plan of care, in 1 of 15 cases reviewed (Record/Patient C1).

The agency failed to ensure skilled professional services / skilled nursing services assumed responsibility for communication with all physicians involved in the plan of care and other health care practitioners related to the current plan of care, in 1 of 15 cases reviewed (Record/Patient: #7).