Kaiser Foundation Hospital Home Health - Novato

The home health agency failed to ensure infection prevention and control practices, including hand hygiene and appropriate glove use, were implemented in accordance with the agency's infection control policy, for one of seven sampled patients (Patient 7) observed receiving home health care.

The home health agency failed to complete an assessment in a timely manner consistent with patient’s needs for one of 17 sampled patients (Patient 13) when staff did not perform a speech therapy (a treatment that improves how a person talks, understands language, and communicates) evaluation within…

The home health agency (HHA) failed to ensure that the comprehensive assessment accurately reflected the patient's current status for one out of 17 sampled patients (Patient 17).

The home health agency failed to ensure patients’ clinical records accurately reflected all medications the patients were taking for two of 17 sampled patients (Patient 13 and Patient 15) when Patient 13 and Patient 15’s active medication lists did not reconcile with the medications they were…

The home health agency (HHA) failed to ensure services and treatments written in the plan of care are administered only as ordered by a physician or allowed practitioner for two out of 17 sampled patients (Patient 3 and Patient 6).

The agency failed to provide three of seven sampled, home visit patients (Patients 2, 3, and 7) with individualized, written emergency plans.

The agency failed to ensure that one of three patients with skilled nursing visits, (Patient 2), received wound care in accordance with physician orders resulting in the potential that wounds may not heal.

The agency failed to ensure that one of two patients receiving physical therapy (Patient 3) assessed the wheeled walker at the start of care resulting in Patient 3 not using the walker as intended to provide gait stability and prevent falls.