Liberty Home Care Vii LLC

The agency failed to include oxygen on the medication list for 1 of 2 patients receiving oxygen therapy (Patient #8).

The agency failed to notify the physician of a patient’s change in status for 1 of 9 (Patient #9) clinical records reviewed.

Staff interviews the Home Health Aide (HHA) failed to provide services that were included the plan of care for 1 of 1 patient receiving HHA services.

Staff interview the agency failed to maintain the clinical record with detailed, complete, and accurate documentation and failed to ensure past and current information was included in the clinical record for 1 of 2 closed records sampled [#2]; and 3 of 6 active records sampled [3, 4 and 5]. The…

Patient/caregiver interview and staff interview the agency failed to update the medication profile with new medications, failed to identify discontinued medications and remove from the medication profile, and/or failed to revise medication profile to include correct frequency of medication for 2 of…

Staff interview the agency failed to coordinate with the physician regarding patient supply needs, missed and/or delayed visits for 1 of 2 closed records sampled [#2]; and 3 of 6 active records sampled [#3, 5 and 6]. The findings include: Review of the "Coordination and Communication Activities"…

Agency policy review and staff interview the agency failed to perform aide supervisory visits every 14 days for 1 of 2 sampled patients who received aide services [#7]. Findings include: Review of the "Home Health Aide Supervisory Visits Contents" policy provided by the Clinical Manager [1E] on…

The agency failed to verify competencies with Suprapubic Catheters [urinary drainage tube inserted into the bladder through a surgical opening located on lower abdominal region, to drain urine] in accordance with agency policy for 2 of 2 Registered Nurses [#4E and 7E]. The findings include: The…

Staff interview the Registered Nurse failed document coordination of care; failed to document care provided; failed to include accurate information in the clinical record; failed to include the title of nurse providing care; failed to include documentation of all visits made; failed to coordinate…

Staff interview the RN [registered nurse] failed to develop home health aide care plans that specified the type of bath the patient should receive for 1 of 2 patient records sampled with HHA [home health aide] services [#4]; failed to include written instructions on the aide plan of care for when…