Lifespring in Home Care of Eastern PA

The agency failed to administer patient treatment as ordered by the physician for one (1) out of four (4) patient home visit observations (Observation #1).

The agency failed to obtain the physicians countersignature within 10 days of obtaining verbal orders, per policy, and or per state regulation within 30 days, for four (4) out of ten (10) clinical records (CR) reviewed (CR#1, CR#3, CR#8, CR#10).

Agency failed to send a discharge summary to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the home health agency (HHA) (if any) within five (5) business days of the date of the order for…

The agency failed to have included a process for cooperation and collaboration with local, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency.

The agency failed to document patient ' s progress (60-day summary) toward measurable outcomes and goals identified in the plan of care per agency policy for four (4) of four (4) clinical records with more than one certification period.

The agency failed to ensure that the nurse followed the agency ' s policy for infection control policy for wound care for one (1) of one (3) home visit observations.

The agency failed to evaluate the medication orders on the plan of care for duplicate orders, include non-prescription medications and were to use topical medications for four (4) of seven (7) clinical records.

The agency failed to ensure that the nurse followed the agency ' s policy for adhering to physician orders for one (1) of one (3) home visit observations.

The agency failed to ensure that the nurse documentation of wound care per agency policy and nursing standards for one (1) of one (3) home visit observations.

The administrator failed to have documentation of a current criminal background check, orientation to agency, a signed job description, competency evaluation and an annual evaluation for three (3) of three (3) contracted physical therapists.