McLaren Home Health

The agency failed to provide the patient with written instruction related to the plan of care initially, and on an ongoing basis in 1 of 17 home visits (MR#s 2) as required per agency policy.

The Registered Nurse (RN) failed to prepare clearly written patient care instructions and include safety equipment precautions, functional limitations, and patient's mental status on the aide's care plan as required per agency policy in 9 of 9 records reviewed in which Home Health Aide (HHa)…

The Home Health Agency (HHA) failed to ensure the patient and their family/representative was notified of their rights, and failed to obtain the patient's family/representative's signature confirming receipt of the patient rights in 1 of 1 records reviewed in which the patient had cognitive…

The agency failed to advise their patients of the names, addresses and telephone numbers of federally-funded and state-funded entities that serve the area where the patient resides for 7 of 7 joint surveyor home visits (MR#1, MR#2, MR#7, MR#10, MR#13, MR#15, and MR#17), resulting in a lack of…

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status in 1 of 17 records reviewed (MR#1). resulting in the potential for unmet needs.

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects and duplicate drug therapy; failed to document the findings of the drug regime review and; failed to ensure the physician was notified of the findings in 3 records…

The agency failed to ensure the plan of care included safety precautions; functional limitations; specific individualized interventions based on the patients initial assessment; and objectively measurable goals and outcomes in 10 of 17 records reviewed (MR#s 1, 2, 3, 5, 7, 11, 13, 15, 16, and 17)…

The Agency (HHA) failed to include contact information for the Home Health Agency's Clinical Manager in the agency's Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

Agency (HHA) staff failed to conduct ongoing communication and follow-up assessments for 1 patient (MR #8) with unplanned weight loss and issues of noncompliance, from a total of 17 sampled patients, resulting in the potential for a poor patient outcome and unmet care needs.

The Agency (HHA) failed to ensure the Home Health Aide (HHa #1) provided services as ordered in the plan of care for 1 (MR #) of 9 patients in which HHa services were ordered, from a total of 17 sampled records reviewed, resulting in the patient not receiving services as ordered.

The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals in 1 (MR #9) of 5 closed/discharged records, from a total of 17 records reviewed, resulting in the potential for unidentified continuing…