Midland Care Home Health

The Home Health Agency failed to ensure: - The Skilled Nurse assumed the responsibility of notifying the physician of a patient's excoriated skin and use of Desitin ointment, prior to applying the medication to the excoriation, for one of seven sampled patients, (Patient #5); and, - The Skilled…

The Home Health Agency failed to ensure the clinical record of each patient contained Plans of Care that were current with accurate information in the current certification period, for one of seven sampled patients, (Patient #1).

The Home Health Agency failed to ensure each patient's plan of care was individualized to include: - All pertinent diagnoses for one of seven sampled patients, (Patient #3); - Patient-specific goals to be achieved by each patient during the certification period, for five of seven sampled patient…

The Home Health Agency failed to ensure all medications applied to the skin of a patient with a Stage IV, Decubitus Ulcer, by the skilled nurses, were applied only as ordered by a physician, for one of seven sampled patients, (Patient #5).