Interim Healthcare

The agency failed to ensure the patient's medication orders on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medications) were accurate for 1 or 5 patient records reviewed (Patient 4).

The agency failed to obtain required information from an emergency department (ED) visit for 7/2/24, failed to update the physician of a patient fall, and failed to follow up with the prescribing practitioner to ensure accuracy of a medication order for 1 of 1 patient (Patient 5).

The agency failed to ensure 7 of 7 staff (Staff C, D, E, F, G, H, and I), observed during the provisions of care to 7 of 7 patients (Patients 1, 2, 3, 4, 5, 6, and 7) , performed proper hand hygiene, cleaning of equipment, and/or bag technique according to the agency's policies and procedures.

The agency failed to ensure verbal orders received for patient care and services were documented on a physician order form or similar form to allow for physician validation and signature of the order for 2 of 17 clinical records reviewed (Patient 16 and Patient 17).

Failed to perform hand hygiene, utilize gloves, and/or follow agency policy and procedure for disinfection of equipment following use and prior to replacing the equipment into the staff supply bag as outlined in the agency policy and procedures.

The agency failed to obtain a physician's order to discontinue home health aide (HHA) services for 1 of 14 sampled patients (Patient 14), when the service was refused by the patient's family.

The agency failed to consult the physician for 3 of 14 sampled patients (Patient 1, 3 and 12) when additions or modifications of the patient's plan of care where identified.