Kosciusko Home Care & Hospice Inc

The agency failed to ensure staff self-screened for COVID symptoms, potentially affecting all agency staff and patients.

The registered nurse (RN) failed to ensure the home health aide care plan was authenticated and specific to the needs of the patients for 2 of 3 clinical records reviewed with aide services (Patient #6 and 8).

The agency failed to ensure the plan of care included all required elements, medications and functional limitations for 3 of 6 active records reviewed (Patients #1, 3, and 8).

The registered nurse failed to inform the physician of changes in the patients’ wound that suggested the plan of care should have been altered for 1 of 6 active records reviewed (Patient #3).

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.

The agency failed to ensure the emergency preparedness plan included a full scale exercise and a second tabletop exercise was completed at least annually.

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

The SN did not redress this wound.

The skilled nurse (SN) failed to ensure the physician was notified of new wounds in 1 of 1 clinical records reviewed (# 2) of a patient with wounds in a sample of 8. Findings include: The agency's policy titled "Plan of Care Policy and Procedure," dated 11/2018, stated "drugs, services, and…

The skilled nurse (SN) failed to provide services that were ordered by the physician as indicated in the plan of care (POC) in 1 of 8 clinical records reviewed (# 2).

The agency failed to ensure home health aide (HHA) supervisory visits had been conducted every 14 days for 1 of 2 clinical records reviewed of patients receiving HHA services with a skilled service (# 4).