Precautionary Home Health Services Inc

The home health agency (HHA) failed to assess the oxygen saturation (oxygen level in the system) as indicated in the Plan of Care (POC) for one of seven sampled patients, (Patient 2).

The home health agency (HHA) failed to provide a written copy of the Plan of Care (POC) for three of seven sampled patients, (Patient 1, 4, and 5).

The home health agency (HHA) failed to adhere to standard precautions and infection control practices during wound care for one of ten sampled patients, (Patient 1).

The home health agency (HHA) failed to identify medication accuracy for three of seven sampled patients, (Patient 1, 2, and 4).

The home health agency (HHA) staff failed to ensure the individualized plan of care included patient and caregiver specific education and training, for one of 7 sampled patients (Patient 4).

The home health agency (HHA) failed to provide ongoing education and training for two of 7 sampled patients, (Patient 4 and Patient 5).

The home health agency (HHA) failed to provide the patients with a current medication profile for two of seven sampled patients, (Patient 1 and 4).

The home health agency (HHA) failed to provide patient/patient caregiver (PCG) education regarding medication regimen compliance and storage for one of seven sampled patients, (Patient 1).

The agency failed to ensure that the Condition of Participation for Care Planning, Coordination, and Quality of Care was met as evidenced by: 1. The home health agency failed to notify the physician promptly that one of nine sample patients (Patient 1) experienced a significant drop in blood…

The agency staff failed to ensure that care followed the written plan of care for one of nine sampled patients (Patient 1).

LVN 1 failed to follow the home health agency's nurse uniform policy during a home visit for one of nine sample patients (Patient 1).

The home health agency failed to document both the existence of the complaint and the resolution of the complaint for one of nine sample patients (Patient 6).

The home health agency staff failed to review all the medications and update the medication profile with currently used medications for two of nine sampled patients (Patients 1 and 6).

The skilled nurses failed to administer a wound care treatment as ordered by the physician for one of nine sample patients (Patient 1).

The home health agency failed to notify the physician promptly that one of nine sample patients (Patient 1) experienced a significant drop in blood pressure.

The skilled nurse (SN) failed to maintain aseptic technique (free from contamination, to prevent spread of infection), as ordered , when providing wound care for one of nine sample patients (Patient 1).

The home health agency failed to furnish skilled nursing services in accordance with the plan of care for two of nine sample patients.

The home health agency failed to ensure the skilled nurse prepared and submitted clinical notes for two of nine sample patients.