Interim Healthcare of Pueblo

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 2 patient observed receiving wound care during a home visit (Patient #1).

The agency failed to ensure a comprehensive assessment was completed no later than five calendar days after each patient's start of care for 1 of 7 patient records reviewed (Patient #7).

The agency failed to ensure the comprehensive assessment included all required elements.

The agency failed to ensure the plan of care included all required elements.

The agency failed to ensure wound care treatments were administered by agency staff only as ordered by a physician for 1 of 3 patients reviewed who had wound care ordered (Patient #1).

The agency failed to ensure the patient was advised of changes in the patient's plan of care, prior to implementing changes in 1 of 3 active patients reviewed (Patient #2).

The agency failed to ensure drugs and treatments were administered by agency staff only as ordered by a physician for 2 of 4 active patients reviewed (Patients #2 and #3).

The agency failed to ensure the skilled nurse (SN) followed the physician orders for 3 of 12 active patient records reviewed (Patients #5, #6, and #7).

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 1 patient having a peripherally inserted central catheter (PICC) line requiring a sterile dressing change (Patient #1).

The agency failed to ensure patient-specific written care instructions for the certified nurse aides (CNAs) were prepared by the registered nurse (RN) for 1 of 1 patient reviewed who received CNA services that included a bowel program (Patient #12).

The agency failed to ensure the individualized Plan of Care for 3 of 3 patients reviewed with side (bed) rails (Patient #3, #5, and #18), included equipment required and safety measures to protect against injury.

The agency failed to ensure verbal orders by the qualified practitioner responsible for furnishing or supervising the ordered services were in accordance with state law to include the representative conferring the order, signed, dated and timed by the nurse for 11 of 12 active patient records…

The agency failed to ensure the certified nurse aide (CNA) provided services as ordered by the physician and included in the Plan of Care for 2 of 4 patient records reviewed receiving CNA visits multiple times a day (Patients #5 and #14) 1. The clinical record for Patient #14 was reviewed on…

The agency failed to ensure a registered nurse (RN) or other appropriate skilled professional familiar with the patient, the patient's plan of care and the written patient care instructions made an onsite visit to the patient's home no less frequently than every 14 days to conduct certified nurse…

The agency failed to ensure the registered nurse (RN) made a supervisory visit to the patient's home at least every 60 days with the certified nurse aide (CNA) present to ensure the aide was properly caring for the patient for 1 of 2 patients reviewed requiring supervisory visits every 60 days.

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 4 of 12 active patient records reviewed (Patients, #1, #5, #8 and #11).