Providence Medford Home Care

The agency failed to ensure that services ordered by the physician as indicated in the plan of care were being followed for 1 of 3 patient records reviewed (Patient #3).

The agency failed to ensure the Patient and Caregiver(s) were provided education on the technique of offloading as it pertains to wound care and to refrain from wound care on days the HH SN is to make visits for 1 of 3 patient records reviewed (Patient #3).

The agency failed to ensure that documentation of clinical notes written by the SN contain information as it applies to the home visit on the day the note is written.

The agency failed to ensure that communication with the physician occurred when a physician order was not followed or the patient condition changed.

The agency failed to ensure the individualized plan of care for 16 of 20 sampled patients (Patients 1, 2, 3, 4, 5, 6, 8, 9, 10, 12, 15, 16, 17, 18, 19 and 20) included a description of the patient's risk for emergency department visits and hospital re-admission, included patient and caregiver…

The agency failed to provide the patient and caregiver with a copy of written instructions outlining the visit schedule and frequency of visits by HHA personnel for 5 of 7 sampled patients reviewed (Patients 3, 5, 15, 16 and 17).

The agency failed to provide the patient and caregiver with the name and contact information of the HHA Clinical Manager, as required, for 7 of 7 sampled patients reviewed (Patients 3, 4, 5, 14, 15, 16 and 17).

The agency failed to maintain a clinical record that contained the complete plans of care for 7 of 7 sampled patients reviewed, (Patients 3, 4, 5, 14, 15, 16 and 17).