Medical Centers Homecare

The agency failed to ensure the Client Medication Report (CMR), for each patient was current and accurate.

The agency failed to ensure: 1. Hospital discharge orders were followed by the home health agency on admission.

The agency failed to ensure medications were reconciled in 2 of 7 open records reviewed and 3 of 7 home visits (HV) conducted.

Staff failed to notify the physician of change, in the patient's condition which included the following: 1. Increased shortness of breath.

The agency staff failed to ensure all initial evaluations and required follow up were completed to meet patient needs and according to agency policy.

The staff failed follow their own policy and procedure, complete and document weekly wound measurements.

The agency staff failed to ensure: a) all patients/caregivers were educated on self care with the development of new diagnoses. b) all patients/caregivers were competent in wound care performance with a return demonstration of the skill/procedure performed by the patient/caregiver.

The agency failed to ensure medical record documentation was complete and accurate with all events, treatments, medications administered and communications which included assessments and care provided for 2 of 7 open records reviewed.