Interim Healthcare of Fort Wayne

The agency failed to ensure all clinical record entries were complete, and appropriately authenticated for 1 of 2 records reviewed with home visits (Patient #13).

The Registered Nurse failed to ensure wound care was provided as ordered on the plan of care for 1 of 2 home visits (Patient #13).

The home health agency failed to ensure the plan of care included orders for all services required by the patient and goals which were patient-specific and measurable (see Tag G574) and failed to notify the physician of changes in the patient’s wound status nor of home health aide visits which did…

The Registered Nurse and Licensed Practical Nurse failed to assess for the presence or absence of tube feeding residual, failed to accurately measure a wound, and failed to assess all areas at high risk for skin breakdown (See G706) and the Physical Therapist failed to supervise and document the…

The home health agency failed to identify a process to notify authorities of patients/staff who cannot be located in an emergency, which had the potential to affect all patients and staff.

The agency failed to include contact information for federal, state, regional, and local emergency officials in 1 of 1 agency surveyed, with the potential to affect all patients and employees.

The home health agency failed to follow accepted standards of practice and their own policies to prevent the transmission of infections and communicable diseases for 2of 5 patient visits observed (Patient #6,7.) 3. During a home visit observation on 11/07/2022 beginning at 11:34 AM with Patient #7…

The home health agency failed to ensure the aide care plan assigned only appropriate tasks for a home health aide for 2 of 2 patients reviewed who received home health aide services (Patient #3 and 5).

The home health agency failed to ensure the comprehensive assessment included a current and accurate assessment of the patient in 4 of 11 clinical records reviewed (Patient #2,4,7,8).

The home health agency failed to ensure the patient’s medication list included an indication for administration for all as-needed medications and failed to ensure the patient’s medication list included clear directions on which medication to administer for multiple medications with the same…

The home health agency failed to ensure the plan of care included orders for all services required by the patient and goals which were patient-specific and measurable for 3 of 8 active records reviewed (Patients #4, 5, 7).

The home health agency failed to notify the physician of changes in the patient’s wound status and failed to notify the physician of failure to follow physician orders for frequency and length of visit for 3 of 8 active patient records reviewed (Patient #3,4,7.

The Registered Nurse (RN) and Licensed Practical Nurse (LPN) failed to assess for the presence or absence of tube feeding residual for 1 of 1 home visit of a patient with a G-tube (Patient #2) and failed to accurately measure a wound for 1 of 2 home visits of a patient with a wound (Patient #4)…

The agency failed to ensure physical therapy assistants received supervision from a physical therapist in 3 of 4 patients who received services from a physical therapy assistant for more than one month, when supervision visits were required (Patients #8, 10, and 11).

The home health agency failed to comply with Federal, State and local laws and regulations regarding ownership, change of ownership, and disclosure of ownership; change in management; names and addresses of all persons with an ownership or controlling interest in the agency; names and addresses of…

The agency failed to identify a managing agent and/or managing employee; and failed to identify the chief executive officer and the chairman or equivalent position of the governing body responsible for the management of the home health agency, agency failed to ensure that it's organizational…

The agency failed to ensure the emergency preparedness plan was reviewed and updated at least annually for 1 of 1 agency.

The agency failed to ensure the hazard vulnerability analysis was updated at least annually and included emerging infectious diseases (Ebola virus and Zika, i.e.) as part of the hazard vulnerability analysis for 1 of 1 agency.

The agency failed to conduct exercises to test the emergency plan at least annually for 1 of 1 agency.

The agency failed to ensure Outcome Assessment Information Set (OASIS) data had been transmitted to the state agency within 30 days for 9 submissions involving 6 patients for the dates 4/1/19 through 9/30/19 in 4 of 6 patients with late OASIS submissions had clinical records reviewed from a sample…

The agency failed to ensure staff followed infection control policies and procedures for 1 of 3 home visit observations (patient # 2).

The agency failed to ensure the individualized plan of care included all medications in 1 of 8 records reviewed (patient #2); included an individualized frequency and duration of visits in 1 of 8 records reviewed (patient # 4), and included all pertinent diagnoses in 1 of 8 records reviewed…

The agency failed to ensure medications and treatments were administered only as directed by a physician in 1 of 3 home visits observed and in 1 of 8 clinical records reviewed.

The agency failed to ensure the patient received all home health aide services ordered, and the home health aide provided only the services identified in the written patient care instructions for 1 of 2 patients with home health aide services ordered (patient # 4) in a universe of 8 clinical…