Saad Healthcare

The agency failed to ensure agency policy for infection prevention was followed.

The agency failed to ensure the medications were reconciled per agency policy to include all current medications.

The agency failed to ensure physician's orders were followed.

The agency failed to ensure the physician was notified of significant changes.

The agency failed to ensure: 1. Negative Pressure Wound Therapy (NPWT) black foam number removed and/or inserted into the wound was documented per policy.

The agency failed to ensure patient education and return demonstration was provided for all medications and treatments.

The agency failed to ensure the visit frequency was followed in 1 of 12 active records reviewed including MR # 6 and had the potential to affect all patients admitted to this agency.

The facility failed to ensure staff: 1) Removed contaminated gloves and performed hand hygiene prior to cleaning non-disposable equipment. 2) Performed hand hygiene when performing wound care per agency policy.

The agency failed to ensure the Registered Nurse (RN) developed and maintained an individualized Home Health Aide (HHA) assignment to meet the needs of each patient.

The agency failed to ensure all patients were provided information for the State Hotline Number and grievance process.

The agency failed to ensure medication profiles were updated for all patients.

The agency failed to ensure physician's orders were obtained prior to providing wound care.

The agency failed to ensure wounds were assessed and measured weekly per policy.

The agency failed to ensure patients and/or caregivers were educated on: 1. Wound care to include teaching with return demonstration.

The agency failed to ensure medical record documentation was accurate and complete with all events, and treatments administered which included OASIS (Outcome and Assessment Information Set) documentation and ….. This affected 1 of 12 active MRs including MR # 9, and 1 of 4 discharge records…

The agency failed to ensure the Home Health Aide (HHA) provided care as ordered in the plan of care.

The agency failed to ensure discipline visit frequencies were completed as ordered by the physician.

The agency failed to ensure the staff: 1. Performed hand hygiene as directed per the agency policy.

The agency failed to ensure all admissions were completed within 48 hours of the referral date and/or documentation as to why the admission did not occur within the 48 hours of the referral date.

The agency failed to ensure the Client Medication Report (CMR) was accurate and reflected all current medications.

The agency failed to ensure the staff obtained and documented physician's orders for oxygen in 1 of 3 records reviewed with oxygen.

The agency failed to ensure staff documented all physician orders and entered them into the patient medical record.

The staff failed to notify the physician with changes in the patient condition.

The SN (Skilled Nurse) failed to follow the plan of care for wound assessment(s).

The agency failed to ensure the staff: 1. Obtained weekly weights prescribed by the physician.

The agency staff failed to ensure medical record documentation was complete and included the specific wound care performed.

The agency failed to ensure the home health aide followed the written plan of care and accurately documented the care provided.