Managed Homecare Inc

The agency failed to develop an emergency preparedness program as per the agency’s policy and procedure.

The agency failed to ensure a copy of the Plan of Care (POC) and the Medication Profile were provided for one of three patients reviewed (Patient 6).

The agency failed to ensure the medications listed in the patient's current plan of care (POC) and current medication profile were updated, accurate, and complete for three of three patients reviewed (Patients 1, 4, and 6).

The agency failed to ensure the physician's orders and the plan of care (POC) were signed and dated timely, within 30 days of order dates for four of eight patients reviewed (Patients 1, 2, 8, and 6).

The agency failed to ensure for seven of eight skilled nurses' files reviewed (LVN [Licensed Vocational Nurse] 2, 3, 4, 5, 6, QA [Quality Assurance] Nurse, and RN [Registered Nurse]) had received their skills and competency evaluation and annual performance evaluation according to the agency's…

The agency failed to ensure the physician was notified when the Skilled Nurse (SN) and the patient primary caregiver (PCG) titrated down the oxygen level of the ventilator (a breathing machine) from 1.5 liters per minute (LPM) to 1 LPM for one of seven sampled patients (Patient 4).

The home health agency failed to ensure accepted standards of practice to prevent the spread of infection was observed, when the agency staff did not perform hand hygiene in between glove changes, while conducting multiple wound care treatments, for one of seven sampled patients (Patient 1).

The agency failed to ensure the "Pediatric Nursing Evaluation/Medical Plan of Care" was accurate and complete with patient's current health status and psychosocial status for one of seven sampled patients (Patient 4).

The agency failed to ensure the medications listed in the patient's Plan of Care (POC) and in the medication profile were updated, accurate, complete, and had not expired beyond the manufacturing date for two of seven sampled patients (Patient 4 and 5) when: 1. For Patient 4, multiple medications…

The agency failed to ensure the "Skilled Nursing Documentation" notes of patient's health status was accurate and complete for two of seven sampled patients (Patients 4 and 5) when: 1. For Patient 4, multiple "Skilled Nursing Documentation" notes did not indicate the intervention for the patient to…