Pruitthealth @ Home - Forsyth

The agency failed to accurately assess patients’ medications on the OASIS (Outcome and Assessment Information Set—standardized assessment) for 3 of 13 patients (#6, 4, and 8).

The agency failed to perform hand hygiene for 1 of 4 home visits (#12); and to follow clinical bag technique for 2 of 4 home visits (#12 and 8).

The registered Nurse failed to follow up on lab work for 3 of 3 patients with orders for lab work (#2, 11 and 13); and failed to assess for skin breakdown for 1 of 4 patients with a wound (#5).

The agency failed to include all medications orders on the Plan of care for 4 of 13 patients (#10, 12, 1 and 8); to include equipment the patient was using a CPAP (continuous positive airway pressure - a machine that uses mild air pressure to keep breathing airways open while you sleep) for 1 of 1…

The agency failed to follow the Plan of Care for 1 of 1 patient with an order to measure abdominal girth (#2); and to obtain an order for compression stockings for 1 of 1 patient wearing compression stockings (#7); and failed to obtain an order for peg [percutaneous endoscopic gastrostomy - is a…

Staff interview that agency failed to report vital signs/pain levels out of parameters for 2 of 13 patients (#3 and 11); to notify the physician that services were on hold due to lack of insurance authorizations for 1 of 13 patients (#6); and to notify the physician of weights out of parameters for…

RN # 3 was not available for interview.

The agency documentation failed to include documentation of lab collection for 1 of 3 patients with labs ordered (#2); and to accurately document medications for 1 of 13 patients (#4).

The agency failed to complete a discharge summary for 1 of 4 discharged patients [#1]. The findings included: The policy, Home Health Discharge Policy [no date], was provided by the agency administrator on 6/7/23 at approximately 12 pm.

The clinical record failed to include vital signs in the clinical record for 6 of 10 patients (#1, 2, 3, 4, 5, and 6).