Pinnacle Home Health of Baton Rouge

The agency failed to ensure skilled professionals accurately prepared clinical notes.

The agency failed to ensure a patient’s OASIS assessments accurately reflected the patient’s wound status at the time of the assessments for 1 (#16) of 12 patients reviewed with wounds.

The agency failed to ensure the Registered Nurse (RN) provided home health agency services in accordance with current clinical practice guidelines and accepted professional standards for 2 (#14 and #16) of 12 patients reviewed for Pressure Ulcers.

The agency failed to ensure Physical Therapy vital sign entries were completed for 2 (#3 and #10) of 17 patient records reviewed.

The agency failed to ensure each patients’ comprehensive assessment included a review of all medications the patients were currently using.

The agency failed to assure communication with all physicians involved in the Plan of Care.

The agency failed to ensure patients received home health aide services included in the plan of care for 2 (#7 and #13) of 3 patients reviewed with home health aide services.

The facility failed to ensure each patient received the home health services written in the plan of care by failing to obtain and document weights for 2 (#4 and #13) of 2 (#4 and #13) patients reviewed for weights.

The agency failed to ensure the patient’s comprehensive assessment included a review of all medications the patient was currently using.

The Home Health Agency failed to ensure a physician was notified of blood pressures outside of physician ordered parameters for 1 (Patient #17) of 17 (Patients #1-17) patients reviewed for physician notification.

The Agency failed to follow the written individualized plan of care for 4 (#1, #3, #4 and #9) as evidenced by: 1. The skilled nurse failed to obtain a finger stick (FS) on the visit dated 9/9/2021 for Patient #1 and; 2. No evidence found of the skilled nurse and physical therapist following the…

The Agency failed to have evidence of documentation that patients' complaints had been accurately investigated, and failed to document a resolution of the complaint on the agency's form.

The Agency failed to ensure the individualized plan of care (PoC) included documentation of parameters for the services provided, as evidenced by no documentation parameters found on the PoC for the monitoring of the oxygen saturation by the skilled professional for 1 (#2) patients out of a total…

The agency failed to ensure that the plan of care (PoC) was signed and dated by the patient's physician as evidenced by failing to obtain the physician's signature on the Plan of Care within 30 days for 2 (#2 and #15) out of 17 (#1-17) sampled patients.

The Agency failed to ensure communication with the physician involved in the care for 1 (#2) patient as evidenced by: a.

The agency failed to ensure the accuracy of the documentation of a supervisory visit for the home health aide for 1 (#2) patient, as evidenced by a supervisory visit documented on 9/8/2021, prior to the agency providing home health aide services to the patient beginning on 9/9/20210, out of a total…