Physicians Choice Home Health Care

The agency failed to provide services as ordered on the plan of care for 1 of 18 records reviewed (Patient 18).

H ) failed to follow the agency policies and procedures for hand hygiene/glove use and proper bag technique while providing cares to Patient 1, 2, 5, 6, and 7. The total sample size was 18. The census was 225 (180 in the Omaha office and 45 in the Lincoln branch).

G536Based on record review, policy and procedure review, and staff interview, the agency failed to ensure the patient's medication orders on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medications), were accurate, for 10 of 18…

D) failed to follow the agency policies and procedures for the use of barriers and/or hand hygiene/glove use while providing cares to Patient 1, 6, and 5 respectively.

The agency failed to follow the agency policy and procedure to ensure the home health aide (HHA) plan of care (POC) was individualized to meet the patient’s specific care needs for 3 of 4 patients reviewed who received HHA services (Patient 4, 9, and 12).

The agency failed to ensure that all treatments ordered by the physician included instructions specific to the treatment ordered for 1 of 17 clinical records reviewed (Patient 8).

The agency failed to include the patient’s progress towards the patient and agency identified goals and measurable outcomes on the revised/updated plan of care for 3 of 3 clinical records reviewed that included a revised/updated plan of care (Patient 5, 6 and 14).

The agency failed to update the physician of modifications needed to the physicians approved plan of care for Home Health Aide (HHA) services for 1 of 6 (Patient 9) patients records reviewed who received HHA services and failed to update the physician of modifications needed to the physician…