Medi Home Health & Hospice

The agency failed to report signs of possible neglect and or unsafe living conditions to adult protective services for 1 of 21 records reviewed [#13]. Findings included: The policy, Patient Abuse, Neglect or Exploitation [4/2025], was provided by the agency administrator on 4/22/26 at approximately…

Staff interviews the Plan of Care [POC] failed to include all/correct medications the patient was ordered for 1 of 3 patients [#8] who received a home visit; and failed to include appropriate safety measures for 5 of 9 patients [#1, 3, 4, 6, 7] who received an anti-platelet medication [medication…

The agency failed to notify the physician of low oxygen saturation readings for 1 of 3 patients [1] on supplemental oxygen; and failed to notify the physician of a patient’s complaints of being dizzy for 1 of 5 [#4] discharged records.

The skilled nurse increased supplemental oxygen flow to 3 liters when the physician’s order was for 2 liters per minute for 1 of 3 patients [#1] with supplemental oxygen; and the skilled nurse failed to measure a midline site [catheter inserted into an upper arm vein designed for intermediate…

The skilled nurse failed to document appropriate/consistent/or weekly wound measurements for 2 of 6 patients [#1 and 11] with a wound.

The agency failed to include all orders in the Plan of Care for 1 of 6 patients [#6]. The findings included: 1. Patient # 6 had a Start of Care date of 7/23/23 with an admitting diagnosis of traumatic subarachnoid hematoma [presence of blood within the between the brain and the surrounding…

The agency failed to accurately assess patients’ status on the OASIS (Outcome and Assessment Information Set—standardized assessment) for 4 of 18 patients (#1, 11, 15, and 8).

The agency failed to conduct the initial assessment within 48 hours of referral for 3 of 18 patients (#9, 3, and 13).

Plans of Care were not completed timely for 12 of 13 active patients (#4, 5, 8, 9, 10, 18, 1, 2, 3, 7,11, and 12).

The agency failed to comply with hand hygiene standards for 1 of 6 home visit observations (#6).

The skilled nurse failed to assess areas of potential concern on a patient’s feet for 1 of 1 patient in which the physical therapist requested nursing to assess feet (#5); failed to obtain wound measurements for 1 of 8 patients with a wound (#15).

The agency failed to investigate allegations of caregiver abuse for 1 of 1 patient [#15] with an allegation of abuse.

Staff interviews the agency failed to complete the comprehensive assessment within the 5-day timeframe for 6 of 18 patients [#1, 2, 3, 7, 11, 15]. The findings included: The policy, Assessment [revised 2/2023], was provided by the agency administrator on 5/9/23 at 8:30 am.

The agency failed to assess medications for 2 of 6 patients that received an observational home visit (#5 and 6).

The Plan of Care did not include current medications for 5 of 18 patients (#5,1, 2, 3, 13).

The agency failed to follow the physician’s orders for 3 of 8 patients receiving wound care [#7, 12, 15]. The findings included: 1. Patient # 7 had a Start of Care date of 4/14/23. Review of the ROC [resumption of care-comprehensive assessment completed after inpatient stay] Plan of Care [POC]…

The patient was not discharged with any further medications for UTI [urinary tract infection]. Patient has upcoming clinic appt [appointment] with PCP [primary care provider]. Encouraged patient to report symptoms during visit…Instructed patient to continue to drink water and cranberry juice.

The agency failed to update the Plan of Care for 1 of 13 active patients (#10).

The skilled nurse failed to assess a wound for 1 of 8 patients with a wound [#15]. The findings included: The policy, Wound Care Standards [review 8/2022] was provided by the agency administrator on 5/9/23 at 4:30 pm.

The agency failed to document follow-up for 1 of 1 patients (#16).

The agency failed to follow the plan of care related to wound care for 1 of 3 charts [#1]; failed to follow the plan of care related to lab work for 1 of 1 charts [#1]. The findings included: 1A.

Staff interviews the agency failed to document PICC [peripherally inserted central catheter]line measurements for 1 of 2 charts with a PICC line [#1]; failed to document wound measurements for 1 of 3 charts with a wound [#1]; failed to transcribe discharge orders correctly on the resumption of care…