Mass General Brigham Home Care, Inc

The agency failed to ensure hand hygiene was performed prior to donning (putting on) gloves and infection control guidelines were maintained during a wound dressing change observation for 1 patient (#6), out of a total sample of 7 patient home visits.

The agency failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for 12 patients (#3, #4, #6, #12, #13, #17, #7, #8, #10, #11, #15 and #16), out of a total sample of 17 patients.

The agency failed to ensure the Notice of Medicare Non-Coverage (NOMNC-an official Centers for Medicare and Medicaid Services {CMS} form that informs beneficiaries when their Medicare-covered skilled services, home health or outpatient rehabilitation services are ending and explains the right to…

The agency failed to ensure the initial assessment visit was completed either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care date, for 1 patient (#8), out of a total sample of 17 patients.

The agency failed to ensure that services were provided as ordered by the physician or allowed practitioner as indicated in the plan of care, for 5 patients (#1, #8, #11, #16, and #14), out of a total sample of 17 patients.

The agency failed to ensure staff communicated with the physician involved in the plan of care, related to the current plan of care, for 4 patients (#1, #11, #16, and #14), out of a total sample of 17 patients.

The Agency failed to ensure nursing staff provided care and services consistent with acceptable standards of nursing practice when after Nurse #1 inserted a urinary catheter into Patient #1, he/she experienced complications, which included but was not limited to blood after insertion, no urine…

The Agency failed to ensure they provided services only as ordered by the physician, when Nurse #1 inserted an indwelling urinary catheter (tube inserted through the urethra and remains secured by a balloon in the bladder to drain urine) into him/her without a physician’s order.

The Agency failed to ensure staff provided care consistent with acceptable standards of nursing practice.

The facility failed to ensure nursing staff followed agency polices, procedures and nursing standards of practice while performing a wound Vacuum-Assisted Closure (VAC, negative pressure wound therapy to promote healing in a wound) dressing change.