Morrill County Comm. Hosp. Home Health Agency

The agency failed to include the agency’s determination of the patient’s risk for emergency department visits and rehospitalization on the Plan of Care for 6 of 7 (Patients 1, 2, 3, 4, 6, and 7) patient records reviewed.

The agency failed to include, on the Plan of Care, the patient’s progress towards the patient’s measurable outcomes and goals identified by the agency and the patient for 3 of 3 (Patients 1, 2, 3) patients who had a revised/updated Plan of Care.

The agency failed to conduct an individual emergency plan risk assessment for the Home Health Agency's (HHA) patients during a natural or man-made disaster and failed to include the risk assessment on the comprehensive patient assessment for 7 of 7 (Patients 1, 2, 3, 4, 5, 6, and 7) patient records…

The agency failed to formulate a training program for new and existing staff.

Failed to hand hygiene and/or failed to dispose of contaminated waste in accordance with the agency's policies and procedures to decrease the risk for the transmission of infections.

The agency failed to complete a therapy assessment to evaluate the patient's rehabilitative needs for the comprehensive assessment no later than 5 calendar days after the Start of Care, for 2 of 4 sampled patients (Patient 2 and 6) receiving therapy services from the agency.

The agency failed to record verbal orders in the patient's clinical record and obtain physicians signature for the verbal orders for 1 of 7 patients (Patient 3) reviewed.