Pruitthealth Home Health New Bern

Staff interviews the agency failed to follow accepted standards of practice to prevent the transmission of infections and communicable diseases for 2 of 5 patients with home visits conducted.

The agency failed to maintain accurate medication profiles for 2 of 7 home visits conducted.

Staff interview the registered nurse failed to document the assessment or response to treatment of penile cellulitis (skin infection of the penis) for 1 of 1 clinical record reviewed with the diagnosis of penile cellulitis (Patient #13).

The agency failed to document an accurate diagnosis on the Plan of Care for 1 of 8 patients receiving physical therapy (Patient #6) and failed to list oxygen with the medications on the Plan of Care for 1 of 1 patients receiving oxygen (Patient #4).

The agency failed to notify the physician of medication discrepancies for 1 of 3 patients (#1).

The skilled nurse failed to conduct an as needed visit based on the plan of care for 1 of 3 patients (#1).

Staff interview the agency assigned task to be performed on an as needed basis for 2 of 2 patients assigned a home health aide [#4 and #7]. The findings include: 1. Review of the clinical record for patient #4 revealed a start of care date of 10/17/18. Diagnoses included Muscle Weakness, Type 2…

Patient/caregiver interview and staff interview the agency failed to identify medications that the patient was currently taking for 2 of 3 patients visited in the home [#5 and 4]. The findings include: Review of "Medication Management for Home Health" policy received from the Administrator on…

Staff interview the agency failed to coordinate elevated blood sugar with physician post hospitalization for patient with recent hospitalization for uncontrolled diabetes for 1 of 1 patients [#2] thus putting patient at risk of re-hospitalization; failed to coordinate skilled nurse visit in a…

The nursing member of the interdisciplinary team failed to assess patient medications for discrepancies, failed to assess challenges patient had with administration of insulin, and failed to assess patient's ability to use glucometer for blood sugar monitoring for 1 of 1 patient [#4]; and failed to…

Staff interview the agency failed to document medication changes for 1 of 1 patient with medication changes [#1]; failed to document blood sugar readings for 1 of 1 patients [#2]; failed to document what PICC line dressing change entailed for 1 of 1 patients [#2]; and failed to accurately document…

Staff interview the agency failed to measure discontinued PICC [peripherally inserted central catheter] line in accordance to agency policy for 1 of 1 patients [#2]. The findings include: Review of the agency's procedure for PICC [peripherally inserted central catheter] line removal received from…