North Idaho Home Health

The agency failed to ensure physicians were alerted to changes in patients conditions, physician orders were followed, and there was adequate communication between all disciplines including RN's and LPN's.

The agency failed to follow physician orders for 1 of 17 patients (Patient #2) whose records were reviewed.

The agency failed to ensure death records were complete for 2 of 2 patients (Patients #2 and #3) who died and whose records were reviewed.

The agency failed to ensure LPN's practicing at the agency functioned in dependant roles and under the supervision of a Registered Nurse for 2 of 17 patients (Patient #2 and #17) whose record was reviewed.

The agency failed to ensure patient's physician was notified of a change in a patient’s medical status and to coordinate care with physicians for 3 of 17 Patients (Patient #2, #3 and #17) whose records were reviewed.

The agency failed to ensure coordination of patient care among disciplines for 2 of 17 patients (Patient #2, and #17) whose records were reviewed.

The agency failed to ensure encoded OASIS data reflected the patients' status at the time of assessment for 2 of 13 patients (#4 and #8) whose records were reviewed.

The agency failed to ensure a comprehensive assessment was conducted for 1 of 13 patients (Patient #12) whose records were reviewed.

The agency failed to ensure care followed the patients' written POC, for 2 of 13 patients (#5 and #11) whose records were reviewed.

The agency failed to ensure patients/family members were given the opportunity to participate in their POCs related to services provided and frequency of visits for 1 of 13 patients (Patient #10) whose records were reviewed.

The agency failed to ensure patients were informed in writing of the extent to which payment could be expected and the charges the individual might have to pay for 1 of 2 patients (Patient #10) for whom a Medicare Advantage Plan was the payer and whose records were reviewed.

The agency failed to ensure the initial patient assessment was performed within 48 hours of physician referral for 1 of 13 patients (Patient #9) whose records were reviewed.

The agency failed to ensure a comprehensive medication review was performed and potential significant drug interactions were identified for 2 of 13 patients (#4 and #10) whose records were reviewed.

The agency failed to ensure POCs included relevant equipment and supplies for 4 of 13 patients (#1, #8, #11, and #12) whose records were reviewed.

The agency failed to ensure medications were taken only as ordered by the physician for 1 of 13 patients (Patient #9) whose records were reviewed.

The agency failed to ensure ongoing interdisciplinary assessment of 3 of 13 patients (#4, #8, and #9) whose records were reviewed.

The agency failed to ensure appropriate reporting and communication occurred related to significant symptoms for 3 of 13 patients (#5, #8, and #10) whose records were reviewed.

The agency failed to ensure the aide limited services to those activities included in the aide care plan for 1 of 1 patient (Patient #1) whose aide care was observed in the home.

The agency failed to ensure a completed discharge summary was sent for 1 of 5 patients (Patient #13) who were discharged from the agency and whose records were reviewed.