Phoenix Home Care

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in one of five full records reviewed (Record/Patient #2).

The home health provider failed to provide a completed transfer summary to the health care facility providing care to the patient within two (2) days of becoming aware of the transfer in one of five full records reviewed (Record/Patient #4).

The agency failed to provide the patient with contact information for the HHA (home health agency) administrator, in three (Records/Patients #1, #2, and #3) of three home visit observations.

The agency failed to ensure that the patients be advised, orally and in writing, of the extent to which payment for HHA (home health agency) services may be expected in, but not limited to, two (Records/Patients #3 and #5) of five full records reviewed.

The agency failed to provide written notice of the updated state toll free home health telephone hotline hours of operation (7:00 AM to 8:00 PM, seven days a week), in three (Records/Patients #1, #2, and #3) of three home visit observations.

The home health provider failed to ensure a registered nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral in, but not limited to, one (Record/Patient #1) of five sampled patients.

The agency failed to accurately reflect the patient's status and include relevant patient data in the comprehensive assessment, in, but not limited to, one (Record/Patient #5) of five full records reviewed.

The home health provider failed to ensure an effective review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy…

The agency failed to ensure that each patient and his or her caregiver(s), received ongoing education and training provided by the HHA (home health agency), regarding the care and services identified in the plan of care in, but not limited to, one (Record/Patient #3) of three home visit…

The home health provider failed to ensure a written HHA (home health agency) personnel visit schedule was provided to patients in, but not limited to, two (Records/Patients #1 and #2) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions of any treatments being administered by the agency and personnel acting on behalf of the HHA (home health agency) in, but not limited to, one (Record/Patient #3) of three home visit observations.

The agency failed to provide the patient with contact information for the HHA (home health agency) clinical manager, in three (Records/Patients #1, #2, and #3) of three home visit observations.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge, in one (Record/Patient #6) of two discharge records reviewed.

The Registered Nurse (RN) failed to follow accepted standards of practice/infection control measures during a home visit observation for one (Record/Patient #2) of three home visits conducted.

The agency failed to complete an accurate individualized plan of care to include all pertinent diagnoses, functional limitations, and all medications and treatments in, but not limited to, one (Record/Patient #3) of five records reviewed.

The agency failed to ensure each patient received written information related to the visit schedule, in two (Records/Patients #2 and #3) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions outlining the patient's medication schedule/instructions, including the medication's name, dosage, and frequency, in one (Record/Patient #2) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions of treatments being administered by the agency, in one (Record/Patient #2) of three home visit observations.

The agency failed to provide services ordered by the physician as indicated in the plan of care, for one (Record/Patient #2) of five records reviewed.

The agency failed to ensure that agency staff obtained a copy of the patient's advance directive in, but not limited to, one (Record/Patient #2) of five records reviewed.