Intensive Home Health Care, Inc

The agency failed to ensure the patient's written POC (plan of care) was followed by failing to collect and document the patient's weight or measure arm girth for 4 (#2, #4, #5, and #6) of 7 sampled patients.

The agency failed to ensure the skilled nurse followed accepted standards of practice for infection control for 1 (#1) of 3 patients observed during home visits as evidenced by failing to ensure the skilled nurse changed gloves and perform hand hygiene appropriately during wound care.

The agency failed to ensure exercises to test the Emergency Plan were conducted at least annually by having a full-scale exercise that is community-based; or an annual individual, facility-based functional exercise and an additional exercise that may include, a second full-scale exercise that is…

The agency failed to have a QAPI program that showed measurable improvements in indicators for which there is evidence that improvement in those indicators that would improve health outcomes, patient safety and quality of care.

The agency failed to ensure the RN re-assessed a patient’s Stage 2 Pressure Ulcer weekly for 1 (Patient #5) of 3 patient’s (Patient #4, Patient #5, and Patient #7) reviewed for wounds/pressure ulcers.

The agency failed to ensure the patient’s medication profile accurately listed the correct medications the patient was taking for 1 (Patient #1) of 2 (Patient #1 and Patient #2) medications reviewed during home visits.

The agency failed to ensure the patient's Individualized Plan of Care included all medications and treatments for 1 (#7) of 7 sampled patients.

The agency failed to ensure the SN (Skilled Nurse) provided services as ordered by the Physician and as indicated in the Plan of Care by failing to perform wound care for 1 (#7) of 7 sampled patients.

The agency failed to ensure nursing services were provided under the supervision of a Registered Nurse for 2 (#2 and #7) of 7 sampled patients. #2 Review of the visit schedule for Patient #2 revealed Patient #2 had no RN Supervisory visits for services provided by the agency LPN for dates…

The agency failed to ensure the Physical Therapist (PT) conducted PTA supervisory visits no less than every sixth visit for 1 (Patient #1) of 3 (Patient #1, Patient #3 and Patient #5) sampled patients who received Physical Therapy services.

The agency failed to ensure a Registered Nurse (RN), who was familiar with the patient and the patient's Plan of Care, made an onsite visit to the patient's home no less than every 14 days for aide supervisory visits for 2 (Patient #2 and Patient #3) of 2 sampled patients with Home Health Aide…

The agency failed to ensure patient goals in the patient's plans of care were achievable and the patient could progress toward achieving the goals for 1 (Patient #1) of 3 (Patient #1, Patient #2, and Patient #3) home visits conducted.

The facility failed to provide a letter of confirmation or certified receipt which indicated that their Emergency Preparedness Plan had been submitted to the local parish Office of Homeland Security and Emergency Preparedness (OHSEP) within the last 12 months.