Logan Health Home Care

The agency failed to complete and submit OASIS data for all payor sources for a Start of Care Comprehensive Assessment and Recertification Assessment for 3 (#’s 1, 11, and 13) of 17 patients sampled.

The agency failed to provide Dietitian services as ordered in the individualized plan of care (POC) in the patient’s place of residence for 1 (#4); and failed to provide services as outlined in the patient’s plan of care for 1 (#10); and failed to provide physical therapy services for pain…

The agency failed to ensure the start of care visit was completed within the ordered timeframe and the comprehensive assessment was completed within the 5 day requirement for 2 (#s 11 and 16) of 17 sampled patients.

The agency failed to ensure the individualized plan of care was updated with the frequency and duration of visits to be made by the occupational therapy for 1 (#10) of 17 patients sampled.

The agency failed to integrate orders for management of a patient’s tube feeding as ordered by other providers involved in the patient’s ordered home health plan of care for 1 (#4) of 17 patients sampled.

The agency failed to accurately reflect the status of pressure ulcer at the time of a Discharge OASIS for 1 (#9) of 17 sampled patients.

The agency failed to ensure ordered plan of care for services provided were followed by all clinicians when missed visits occurred for 3 (#s 15, 16, and 17) of 17 sampled patients.

Staff members E and F failed to follow proper infection control practices to prevent the transmission of infections and communicable diseases, in the patient’s environment for 2 (#s 3 and 6) of 7 sampled patients.

The agency failed to initiate timely start of care, and failed to accurately reflect the current medications for a patient at the SOC.

The agency failed to ensure the timely completion of the SOC for 3 (#s 1, 4, and 7); which resulted in an emergency room visit for narcotic withdrawal for 1 (#1) of 17 sampled patients.

The agency failed to ensure the patient POC reflected the current medications at the SOC which resulted in the hospitalization of a patient for hypoglycemia, for 1 (#2) of 17 sampled patients.

The agency failed to ensure wound care services were administered as ordered which resulted in the increase number of pressure ulcers for 1 (#4), and failed to complete speech therapy visits as ordered for 1 (#13) of 17 sampled patients.

The agency failed to revise a patient's plan of care at a ROC to reflect the patient's current medications for 1 (#2) of 17 sampled patients.

The agency failed to provide a transfer summary to the receiving provider at the time of discharge from services for 1 (#2) of 17 sampled patients.