Pike County Health Dept/Home Health & Hospice

The provider failed to meet the requirements for the Condition of Participation: Skilled Professional Services, when the provider failed to ensure skilled nursing services were planned, coordinated, and provided in accordance with the patient’s changing condition and physician-ordered care.

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The home health provider failed to ensure the patient’s individualized plan of care (POC) was updated and communicated to reflect changes in the patient’s condition and physician-ordered care, including a known high-risk cardiac device implantation, in one of three records reviewed (Record/Patient…

The home health provider failed to ensure all documented entries included appropriate authentication and completion in a timely manner in three of five full records reviewed (Records/Patients #1, #2, and #3).

The home health provider failed to ensure a complete and accurate medication list was maintained in, one of three home visit observations (Record/Patient #2).

The home health provider failed to ensure the plan of care (POC) was revised/updated to address the patient's needs for one of five full records reviewed (Record/Patient #3).

The home health provider failed to ensure communication with all physicians involved in the plan of care (POC) in one of five full records reviewed (Record/Patient #3).

The home health provider failed to provide a discharge summary that included all necessary components was sent to the primary care physician after discharge within five business days of the patient's discharge in one of two discharge records reviewed (Record/Patient #6).

The agency failed to ensure contracted staff were provided emergency preparedness training at orientation for one (Employee #3) of four agency employee files reviewed.

The agency failed to ensure all documented entries included completion in a timely manner at the time the care was completed in, but not limited to, two (Record/Patient #1 and #5) of five full records reviewed.

The agency failed to ensure staff provided the written notice of the updated state toll free home health telephone hotline hours of operation in the admission folder of three (Records/Patients #2, #3, and #4) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instruction outlining the visit schedule, including the frequency of visits for physical therapy, in one (Record/Patient #3) of three home visit observations.

The agency failed to ensure staff provided in writing the name and contact information of the clinical manager in, two (Records/Patients #3 and #4) of three home visit observations.

The agency failed to provide physical therapy (PT) and occupational therapist (OT) services as ordered by the physician on the plan of care (POC) in one (Record/Patient #5) of five full records reviewed.

The agency failed to provide Alzheimer's disease training after the State COVID-19 waiver dated April 22, 2020 expired on September 1, 2021 to one contracted employee (Employee #3) of four employee files reviewed.

The agency failed to ensure a complete, comprehensive discharge summary containing relevant information was sent to the patient’s physician for one (Record/Patient #6) of two discharge records reviewed.

The agency failed to include the required items accurately and completely on the individualized plan of care (POC) in, but not limited to, three (Records/Patients #1, #2, and #4) of five records reviewed.

The agency failed to ensure ongoing interdisciplinary assessment of the patient in two (Patients/Records #1, and #2) of five records sampled.