Interim Healthcare of Indianapolis

The agency failed to ensure infection control practices were followed to prevent transmission of infection in the use of hand hygiene and gloving during 1 of 1 home visits (Patient: #3) observed with Peripherally Inserted Central Cather (PICC) (a thin, soft flexible tube used for administering…

The agency failed to ensure the patient received the name and contact information for the Administrator to be able to file a complaint for 1 of 1 (Patient: #1) home visits for patients receiving physical therapy.

The agency failed to ensure the patient received the Indiana state toll-free home health hotline contact information to be able to file a complaint to 1 of 1 (Patient: #1) home visits for patients receiving physical therapy.

The agency failed to ensure patient clinical records included information about the services the patient received from other agencies and failed to ensure they coordinated care delivery to meet the patient's needs for 2 of 2 (Patients #2 and 4), active patient records reviewed of patients receiving…

The agency failed to ensure the patient had been provided a medication schedule to 1 of 1 (Patient: #1) home visits for patients receiving physical therapy.

The agency failed to ensure the patient received the name and contact information for the CM to 1 of 1 (Patient: #1) home visits for patients receiving physical therapy.

The home health agency failed to ensure patient's personal health information was stored in a locked and secure area in 1 of 1 home health agency.

The agency failed to ensure a patient had a copy of their plan of care, medication profile, and visit schedule in accordance with agency policy for 1 of 5 active patients.

The facility failed to ensure the follow up comprehensive assessment started was completed in the last 5 days of the certification period and available for care planning for 1 of 5 active records reviewed.

The facility failed to ensure the Quality Assessment and Performance Improvement (QAPI) plan was tracking performance as indicated in 1 of 1 Performance Improvement Plans (PIP's).

The Administrator failed to ensure they were responsible for the day to day operation of the home health agency in regards to failure to update the plan of care at least every 60 days; failure to ensure all patients had a copy of their plan of care, medication profile, and visit schedule in the…

The agency failed to ensure patients received written instructions outlining visit schedule, frequency of home visits, medication schedule/ instructions, any treatments or services to be administered by the agency, and any other pertinent information related to the patient's care and treatments for…

The agency failed to ensure blood glucose parameters were included in the plan of care for 1 of 2 patients monitoring blood glucose in a sample of 9 records reviewed.

The agency failed to include verbal orders for wound care on the plan of care in 1 of 2 patients with wounds in a sample of 9 records reviewed.

The agency failed to ensure that the plan of care was updated to reflect current assessments of the development of wounds and the orders to care for wounds for 1 of 2 patients with wounds in a sample of 9 records reviewed.

The skilled nurse failed to ensure assessments were completed per the plan of care in 2 of 2 patients with wounds and 1 of 2 patients monitoring blood sugars in a sample of 9 records reviewed.

The skilled nurse failed to ensure the frequency of visits were made as ordered on the plan of care in 3 of 9 records reviewed.

The agency failed to ensure a certified nursing assistant's license was current and in good standing within the State of Indiana for 1 of 3 home health aides in a sample of 9 personnel records reviewed.

The agency failed to ensure patient needs were met by providing home health aide services during weekends and holidays as ordered by the physician for 1 of 7 patients with home health aides assigned, in a total sample of 9 patients (Patients #5).

The agency failed to ensure that home health aide supervisory visits were made no less than every 14 days in 1 of 7 patients receiving home health aide services in a sample of 9 records reviewed (Patient #5) Findings include: An agency policy dated 1/13/18 and titled "Case Supervision" states that…