Professional Healthcare at Home, LLC

The home health agency did not provide services as ordered for one sampled patient (Patient 1).

The home health agency (HHA) failed to meet the Condition of Participation for Care Planning, Coordination, Quality of Care when the agency licensed nursing staff did not notify the doctor for changes of conditions, follow the plan of care, and coordinate care to meet patient needs.

The home health agency failed to review and update their emergency preparedness plan every two years.

The home health agency’s licensed staff did not follow the plan of care for five of 17 sampled patients (Patients 5, 6, 7, 16 and 17).

The home health agency’s licensed staff did not update the plan of care for two of 17 sampled patients (Patients 5 and 7).

The home health agency did not notify the doctor for changes in condition for five of 17 sampled patients (Patients 5, 6, 7, 16, and 17).

The home health agency did not coordinate care for one of three sampled patients (Patient 1).

The agency failed to follow standard precautions to prevent the transmission of infections diseases for one of 15 sample patients (Patient 5) when Registered Nurse 3 (RN 3) did not change gloves and perform hand hygiene during dressing change.

The agency failed to review and provide an accurate medication list to reflect medications as ordered by the physicians for two of seventeen sample patients (3 and 14) when the plan of care did not include all medications Patient 3 and 14 was taking.

The home health agency did not perform an on-going and complete assessments for two of 15 sampled patients (Patients 1 and 11) when: 1. Licensed staff did not check Patient 1's blood pressure during home visits.

The home health agency did not develop and regularly re-evaluate the plan of care for one of 15 sampled patients (Patients 11) and one of one randomly sampled patient (Patient 18) when: 1. For Patient 11, the plan of care was not re-evaluated and updated to address a decline in nutritional intake.

The home health agency's licensed nursing staff did not notify the physician for changes of condition for three of 15 sampled patients (Patients 11, 12 and 15) and two of two randomly sampled patients (Patients 17 and 19) when the physician was not notified of: 1. Patient 11's poor diet adherance…