Nhc Homecare

The home health agency failed to ensure the physician was consulted concerning modifications needed to the patient's plan of care for 1 of 7 sampled patients (#3) when occupational therapy services were not available.

The home health agency staff failed to document notification of the referring physician or the patient's physician, that the plan of care could not be followed for provision of occupational therapy (OT) services, and that the plan of care was not followed for obtaining a urine specimen for 1 of 7…

The home health agency staff failed to document communication with the physicians involved in the plan of care for 1 of 7 sampled patients (#3).

The home health agency registered nurse failed to make an onsite home health aide supervisory visit to the patient's home at least every 14 days for 1 of 2 sampled patients (#5) who were receiving care from the home health aide.