Nhc Homecare - Low Country

The Home Health Agency (HHA) failed to develop and implement policies and procedure for the uses of volunteers in an emergency.

The Home Health Agency (HHA) failed to ensure the timely submission of OASIS (Outcome and Assessment Information Set) to IQIES (Internet Quality and Improvement and Evaluation System).

The Home Health Agency (HHA)failed to ensure goals listed on the patient's Plan Of Care (POC) were individualized and measurable for five of seven patient charts reviewed.

The HHA failed to provide documentation of collaboration with Emergency Preparedness (EP) State and Federal officials.

The HHA failed to provide documentation of policies and procedures for the use of volunteers in the HHA's Emergency Preparedness Program.

The HHA failed to provide documentation of the HHA's EPP training for one of nine employees.

The HHA failed to provide documentation of two exercises for the testing of the HHA's Emergency Preparedness Program (EPP).

The Home Health Agency(HHA) failed to notify the attending physician of a delay in Occupational Therapy(OT) services for one of ten patient records reviewed for care and services.

The Home Health Agency failed to follow physician orders with Occupational Therapy (OT), Physical Therapy (PT), and Speech Therapy (ST) services with no notification to the physician for missed visits and delay in services for one of ten patient charts reviewed for care and services.

The Home Health Agency(HHA) failed to ensure its staff followed accepted principles of infection control in the provision of patient care for 1 of 4 staff: Physical Therapy (PT) 1, with a failure to perform hand hygiene after patient care, cleaning of equipment (computer keyboard and hand sanitizer…

The finding was verified by RN Case Manager 1 at 10:07 a.m. on 6/27/2019. Based on medical record review and interview, the Home Health Agency(HHA)failed to complete the patient's comprehensive assessment within the 5 day time frame to address the patient's immediate needs for four of ten patient…

The Home Health Agency(HHA) staff (Registered Nurse (RN) and RN Case Manager 1) failed to ensure home/facility medications accurately matched the home health agency's medication profile for 2 of 4 patient's mediation lists reviewed.

The Home Health Agency(HHA) failed to provide services as ordered in the patient's Plan of Care for frequencies of therapy visits for one of ten patient charts reviewed for care and services.

The Home Health Agency(HHA) failed to obtain verbal or written orders from the attending physician for an MSW evaluation for one of ten patient charts reviewed for care and services.

The Home Health Agency(HHA) failed to ensure that the HHA staff followed accepted standards of practice for ongoing interdisciplinary assessment for seven of ten patients's in regard to pain assessment and vital sign documentation.

The Home Health Agency(HHA) failed to provide documentation for weekly wound measurements and care of supra pubic urinary catheter as indicated in the patient's Plan of Care (POC) for two of ten patient charts reviewed for care and services.