Johnson County Community Health Services

The provider failed to ensure a complete and accurate review of all the medications was completed in one of three home visit observations (Record/Patient #4).

The provider failed to notify/communicate with the physician when medication needed to be clarified and when the nurse was unable to assess blood glucose as ordered on the plan of care (POC) in two of five full records reviewed (Records/Patients #4 and #5).

The provider failed to ensure revision in the plan of care, due to wound healing, was communicated to all physicians issuing orders for the plan of care in one of five full records reviewed (Record/Patient #4).

The home health provider failed to ensure staff measured/documented abdominal girth measurement as ordered in one of five full records reviewed (Record/Patient #4).

The provider failed to send a completed discharge summary timely in one of two discharge records reviewed (Record/Patient #6).

The agency failed to ensure their emergency preparedness plan included the types of service the agency has the ability to provide in an emergency.

The agency failed to develop and implement an emergency preparedness communication plan that included the names and contact information for the patient's physicians.

The agency failed to develop an emergency preparedness plan that included a communication plan with contact information for federal, state, and local emergency (FEMA) preparedness staff.

The agency failed to ensure their emergency preparedness communication plan included a clear method for sharing medical information about patients with other healthcare providers.

The agency failed to ensure staff followed infection control standards of practice in two (Records/Patients #1 and #2) of three home visit observations.

The agency failed to update the written notice of patient rights to meet the requirements of the updated Federal home health regulations effective 11/29/2019 to include that the patient has the right to be advised of the names, addresses, and telephone numbers of the Federally-funded and…

The agency failed to reconcile and maintain a complete/accurate medication profile in three (Records/Patients #1, #3 and #5) of five records reviewed.

The agency failed to provide services as ordered by the physician on the plan of care (POC) in three (Records/Patients #1, #2 and #3) of five records reviewed.

The agency failed to request and obtain results of findings of the Employee Disqualification List (EDL) prior to hire in two (E #2 and E #3) of four employee files reviewed.

The agency failed to ensure nursing staff followed infection control procedures for wound care during one (RECORD/PATIENT #2) of three home visits observations.

The agency failed to ensure an accurate review and update of all medications the patient was currently using in one (Record/Patient #2) of five cases.

The agency failed to promptly alert the physician to changes in the patient's condition that suggest that outcomes are not being achieved and/or that the plan of care should be altered in two of five records (Records/Patients: #4 and #5).

The agency failed to assure the registered nurse (RN), physical therapist (PT), and physical therapy assistant (PTA) prepared complete and accurate clinical and progress notes or coordinated services regarding changes in the patient's condition/needs in, but not limited to, one of five applicable…

The agency failed to ensure the registered nurse (RN), physical therapist (PT), and physical therapy assistant (PTA) prepared complete and accurate clinical and progress notes or coordinated services regarding changes in the patient's condition/needs in, but not limited to, two of five applicable…

The agency failed to ensure that the registered nurse (RN) evaluated the home health aide for all of the required supervision elements during the home health aide supervisory visits in one (Record/Patient #4) of one applicable records.

The agency failed to: - Ensure the staff had completed the perform a employee disqualification list (EDL) check prior to hire in, but not limited to, two (Employee E1 and E3) of three employee personnel files reviewed ; - Ensure the staff had requested/obtain results from the Family Care Safety…