Liberty Home Care II ,LLC

Staff interviews the agency failed to follow accepted standards of practice to prevent the transmission of infection for 1 of 3 patients with home visits.

Staff interviews the agency failed to include wound assessments for 1 of 4 patients with wounds.

The agency failed to conduct a medical social work evaluation as ordered for 1 of 2 records reviewed with orders for a social work evaluation (Patient #1).

The agency failed to include all medications in the plan of care for 1 of 3 patients with home visits (Patient #7).

Staff interviews the agency failed to notify the physician of a change in patient status for 1 of 4 patients with wounds (Patient #2), failed to notify the physician of a missed social work evaluation as ordered for 1 of 2 records reviewed with orders for a social work evaluation (Patient #1), and…

The agency failed to complete skilled nurse notes for 1 of 8 active patients.

Staff interviews the agency failed to follow the plan of care as ordered by the physician for physical therapy services for 1 of 5 patients with physical therapy (#4).

Staff interview the agency failed to measure wounds for 1 of 2 patients with wounds (#3).

Staff interviews the agency failed to ensure coordination of care for 3 out of 9 patients who received skilled nursing care (#7, 8, 10).

Patient interview and staff interview the agency failed to review all of the medications the patients were currently taking and/or failed to include details of sliding scale for insulin for 4 of 7 patients visited in the home [#6, 11, 12 and 7]. The findings include: Review of agency policies…

Staff interview the agency failed to include on the POC [plan of care], to be reviewed and signed by the physician, the following: description of the patient's risk for emergency department visits, risk for hospital re-admission, interventions to address underlying risk factors, and information…