Mary Greeley Home Health Services

The agency failed to complete a drug regimen review with all of the required components and patient specific for each patient for 4 of 7 sampled patients requiring drug regime reviews (Patients #3, #4, #5 and #6 ).

The home health agency failed to document how additional skills beyond the basic skills were taught and tested for 3 out of 7 sampled home health aides (Staff E, F, and G).

The agency failed to ensure Home Health Aides (HHA) a change in patient condition for 1 of 5 sampled patients receiving HHA services (Patient #5).

The agency failed to ensure the policy included the development of a procedure to inform State and local officials specifically of homebound patients in need of evacuation due to an emergency situation.

The agency failed to develop and maintain an emergency training program for all agency staff as part of its emergency preparedness plan.

The agency failed to ensure training in emergency preparedness to all 5 existing staff consistent with their expected roles and 1 of 1 new staff members since the last survey of 2/15/18, did receive emergency preparedness training during orientation.

The agency failed to ensure accurate completion of all pertinent components of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 2 of 2 sampled patients requiring a resumption of care assessment (Patients #8 and #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including a list of current medications taken by the patient and/or equipment/supplies used to meet the patient's individualized needs for 3 of 10 sampled patients (Patients #3, #4 and #6).

The agency failed to provide medications, treatments or services only as ordered by the physician for 3 of 10 sampled patients (Patients #1, #3 and #9).

The home health agency failed to ensure the clinical record included a copy of the patient's individualized emergency plan developed as part of the comprehensive assessment for 7 of 7 sampled patients (Patients #2, #4, #5, #6, #7 and #8) with a record review which included a comprehensive…

The agency failed to assure clinicians followed agency policies and procedures when providing care to agency patients for 5 of 7 sampled patients with wounds (Patients #2, #3, #5, #6 and #11).

The agency failed to ensure accurate completion of all pertinent components of the resumption of care comprehensive assessments within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 3 sampled patients requiring a Resumption of Care Assessment (Patient #3).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/or failed to ensure the Plan of Care contained current, accurate information for 3 of 10 sampled patients (Patients #6, #7 and #8) with a chart review.

The agency failed to ensure professional staff coordinated patient care with physicians for 2 of 10 sampled patients (Patient #7 and #10).