Providence Home Health

The Home Health Agency (HHA) Skilled Nurses (SN) #1 and #2 failed to follow standard precautions and HHA policy regarding hand hygiene to prevent the spread of infection and communicable disease.

The Home Health Agency (HHA) failed to ensure complete and accurate wound care orders for 1 out of 10 patients (Patient #3).

The Home Health Agency (HHA) failed to ensure staff were following visit schedules and wound care ordered by the physician for 6 out of 10 patients (Patients #1, #3, #4, #5, #6 and #9).

The Home Health Agency (HHA) failed to ensure patient medication lists were accurate and included all of the medications, supplements, and herbal remedies the patients had been taking for two of four patients reviewed for medications during home visits (Patients #2 and Patient #4).

The Home Health Agency (HHA) failed to ensure a comprehensive assessment for re-certification had been completed within the last 5 days of the end of the episode of care for Patient #3, 1 of 10 patients reviewed.

The Home Health Agency (HHA) failed to provide an accurate and complete comprehensive assessment for 2 out of 10 patients (Patients #5 and #7) to include information related to gender or allergies.

The Home Health Agency (HHA) failed to obtain physician orders for Skilled Nurse (SN) visits for 1 of 10 patients (Patient #3).

The Home Health Agency (HHA) failed to document measurable outcomes for all identified problems listed in the patient’s Plan of Care (POC) for seven (7) of thirteen (13) patient records reviewed for care and services.

The home health agency failed to ensure physician orders were followed for visit frequencies and failed to ensure staff followed documentation requirements for missed visits for three of thirteen patient records where the patient's physician ordered visits were not adhered to.(Patient 1, 5 and 6)…

The home health agency failed to ensure 2 of 5 staff followed accepted principles for infection control prevention to prevent potential cross contamination in the home care setting and failed to remove expired supplies from the patient supply area.

The registered nurse failed to provide direction to the home health aide on the patient's aide plan of care as to the frequency of tasks to be performed during each patient visit for one of two patient records reviewed with aide services.

The home health agency failed to ensure its staff took the appropriate measures to determine the accuracy of the patient's medication for 5 of 5 patients during home visits.

The home health agency failed to ensure its registered nurses performed a supervisory visit every fourteen days for patients receiving home health aide services for one of two patient records reviewed for aide services.