Nhc Home Care Midlands

The home health agency's staff failed to provide care as ordered by the physician regarding the management of the patient's blood glucose result reporting for 2 of 7 patients.

The home health agency's staff failed to provide clear instructions for medication dosage for Doxepin for 1 of 1 patient receiving Doxepin (Patient #2) and failed to ensure the patient's medication profile was accurate for 2 of 7 patients.

The Home Health Agency(HHA)failed to document physician notifications as ordered for nine of ten patient records reviewed for care and services.

The Home Health Agency (HHA) failed to ensure its staff followed accepted practices for infection control for sterile technique, hand hygiene, cleaning of equipment, and use of barriers to prevent the potential cross transmission of infectious agents in the home setting for 2 of 2 Registered Nurses…

The HHA's skilled professional staff failed to document patient assessments, failed to ensure staff had equipment for patient visits, failed to ensure its staff reconciled patient medications, failed to ensure staff documented notification of the physician of the patient's abnormal vital signs, and…

The Home Health Agency (HHA)failed to ensure an accurate current medication list for four of four patients observed during home visits.

The Home Health Agency(HHA) failed to provide an individualized Plan of Care (POC) related to physician orders for indwelling urinary retention catheters, intermittent urinary catheterizations, medication updates, update of the patient's POC, and wound care orders for five of ten patient charts…

The Home Health Agency(HHA)failed to obtain orders for Physical Therapy (PT) visits for one of ten patient charts reviewed.

The Home Health Agency failed to document assessments during nursing visits, failed to reconcile the patient's medications, failed to document the patient's vital signs, and failed to document wound assessments and wound care for three of ten patient charts reviewed for care and services.

The Home Health Agency(HHA) failed to produce documentation the HHA staff reported missed visits to the physician for two of ten patients.