Pasco/SW Home Health - Grand Junction

The agency failed to ensure skilled nursing (SN) services were provided in accordance with the plan of care for 1 of 3 patients reviewed (Patient #3).

The agency failed to ensure care was provided according to each patient's individualized written plan of care, in conformance with physician orders, for 1 of 3 patients receiving CNA services (Patient #6).

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 1 patient observed receiving wound care during a home visit (Patient #1).

The agency failed to ensure the registered nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral, or on the physician ordered start of care date, for 1 of 2 clinical records reviewed receiving wound care…

The agency failed to ensure care was provided according to each patient's individualized written plan of care, in conformance with physician orders, for 2 of 7 patient records reviewed (Patient #1 and #5).

The agency failed to ensure clinical record entries were legible, clear, complete and appropriately authenticated, dated, and timed for 2 of 7 patient records reviewed (Patient #4 and #5).

The agency failed to ensure each patient's Plan of Care covered all pertinent diagnoses, treatments, patient-specific interventions and measurable outcomes and goals identified by the home health agency (HHA) and the patient for 3 of 7 patient records reviewed (Patients #1, #2 and #6).

The agency failed to ensure professional staff promptly alerted the physician to any changes in the patient condition that suggested a need to alter the Plan of Care for 2 of 7 patients reviewed (Patients #1 and #2).

The Administrator failed to organize and direct the agency's day to day operations.

The agency failed to ensure a discharge summary was completed timely and was provided to the physician responsible for the care of the patient in 2 of 2 transferred patients reviewed (Patients #1 and #3).