Musc Health at Home, by Bayada- Charleston

The HHA failed to follow acceptable standards of practice when cleaning and disinfecting equipment in the home environment for 1 of 7 home visits observed.

The agency failed to conduct an initial assessment visit within 48 hours after receiving a referral to provide services for 1 (Patient #1) of 17 sampled patients.

The agency failed to provide services as ordered by a physician for 1 (Patient #8) of 17 sampled patients.

The Home Health Agency failed to ensure its Registered Nurses (RN) obtained weekly wound measurements for patients identified with wounds to determined the wound's decline or improvement for 1 of 1 applicable patients.

The HHA's Emergency Preparedness Program revealed the HHA had not updated its Emergency Preparedness Program annually.

The HHA failed to provide both a primary and alternate means for communication in an emergency with Federal, State, regional and local emergency preparedness staff. for the three counties where the HHA is licensed to serve (Charleston, Dorchester and Berkeley).

The HHA failed to provide documentation of an alternate means for communication in an emergency situation with the home health staff.

The home health staff failed to follow the physician orders resulting in missed visits and failing to obtain temperatures, weights, or blood glucose for six of seventeen patient records reviewed for physician orders.

The home health agency failed to ensure that the home health staff followed accepted principles of infection control to prevent the potential cross transmission of infectious agents in the home setting for five of seven patients observed in the provision of care.

The home health agency(hha) failed to ensure the patient's initial comprehensive assessment was completed within 5 days of the patient's start of care for one of seventeen patient charts reviewed for care and services.

The home health staff failed to perform a cardiovascular assessment for two of two patients after the patient's resumption of care following a hospitalization with heart failure.