Powers Home Health Services

The agency failed to ensure the POC was individualized to include the treatments performed and equipment used in 1 of 2 active clinical records reviewed with PT services provided following a hip replacement in a total sample of 4 active clinical records with PT services.

The agency failed to ensure the services provided by the PTA were directed by the POC as developed by the PT in 1 of 2 active clinical records reviewed with PT services provided following a hip replacement in a total sample of 4 active clinical records with PT services.

The registered nurse failed to include all medications into the medication profile to identify any potential adverse effects, drug interactions and side effects for 1 patient (patient #8) 12 active patient, in a total sample of 17 patients.

The agency failed to ensure services were furnished only after obtaining a physician's verbal order for disciplines, frequency of visits, duration of visits, and care orders, for 10 (Patients #1, 2, 3, 4, 5, 6, 9, 10, 11, and 12) of 12 active patients, out of a total sample of 17 patients.

L) failed to ensure the nurse visit note documentation was complete, clear, and consistent, to accurately identify the patient's abdominal surgical site drain(s), wound vacuum (negative pressure wound therapy--NPWT), and the changes in the surgical wound status, for 1 (Patient #8) of 2 patients…