Liberty Home Care

The RN failed to capture the use of an anti-platelet when answering OASIS question N0425 [high risk medications]. During an interview with the agency administrator on 03/25/26 at 11 am it was confirmed the OASIS was inaccurate.

The home health aide care plan failed to include necessary safety measures for 3 of 3 patients who received aide services [ # 6, 7, 8]. The findings included: The policy, Home Health Aide Care Plan and Documentation [01/2025], was provided by the agency administrator on 03/25/26 at 12:30 pm.

Staff the Plan of Care [POC] failed to include current/correct medications for 3 of 5 patients who received home visits [#1, 2, 3];and failed to include appropriate safety measures for 8 of 13 records reviewed [ #2, 3, 4, 6, 7, 8, 11 and 13]; and failed to include updated/appropriate goals and or…

The registered nurse failed to provide proper diabetic teaching regarding diet for 1 of 1 patient who was newly admitted with a diagnosis of diabetes mellitus [#5]. The findings included: Patient # 5 had a Start of Care date of 03/09/26 with admitting diagnosis of type 2 diabetes mellitus with…

The registered nurse failed to remove contaminated gloves, perform hand hygiene, and don clean gloves before removing scissors from her pocket and prior to setting up a sterile field; and the RN failed to disinfect scissors before using them to remove a bandage from a peripherally inserted central…

The agency failed to document indications for the use of PRN (as needed) medications for 4 of 10 records reviewed (Patients #5, #6, #8, #9), failed to document medication frequency for 1 of 10 records reviewed (Patient #5), and failed to document current medications on the plan of care for 1 of 10…

The agency failed to document physician notification of an inability to provide occupational therapy services for 2 of 4 patients with orders for occupational therapy (Patients #8, #10).

Staff interview the agency failed to coordinate alterations in the plan of care with the physician for 13 of 24 records reviewed (2, 5, 8, 10, 14, 16, 23, 4, 7, 11, 9, 17, and 18).