Saint Francis Medical Center

The agency failed to ensure staff documented discharge planning in, but not limited to, one (Record/Patient #5) of two discharge records reviewed.

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in, but not limited to, one (Record/Patient #2) of three home visit observations conducted.

The agency failed to develop and implement policies and procedures that include a process for ensuring the implementation of additional precautions, intended to mitigate the transmission and spread of COVID-19, for all staff who are not fully vaccinated for COVID-19. This deficient practice has the…

The agency failed to provide the written notice of patient rights that included the patient’s right to have a copy of the patient’s rights and responsibilities and the agency’s transfer and discharge policies provided to a patient-selected representative within four business days of the initial…

The agency failed to provide the telephone number of the Federally-funded Quality Improvement Organization that serves the area where the patient resides.

The agency failed to ensure a registered nurse or applicable rehabilitation skilled professional conducted an initial assessment visit within 48 hours of referral, or within 48 hours of the patient’s return home, or on the physician ordered start of care date in one (Record/Patient #2) record and…

The agency failed to ensure a nurse documented a review of the patient’s medications at the start of care in one (Record/Patient #5) of one record reviewed that received therapy services only.

The agency failed to ensure staff developed a complete/individualized plan of care (POC) in, but not limited to, four (Records #1, #2, #4, and #5) of five full records reviewed.

The agency failed to include the name and contact information of the home health agency’s clinical manager in, but not limited to, three (Records/Patients #1, #2, and #4) of three home visits conducted.

The agency failed to ensure staff provided ongoing interdisciplinary assessments/communication in one (Record/Patient #3) of five full records reviewed.

The skilled nurse (SN) failed to follow accepted standards of practice/infection control measures during a home visit observation for one (Record/Patient #3) of three home visits.

The agency failed to ensure the comprehensive assessment for the start of care (SOC) accurately reflected the patient's status and included the patient's current health in one (Record/Patient #2) of six records reviewed.

The agency failed to ensure/maintain an accurate and complete review of all medications the patient was currently using in one (Record/Patient #2) of three home visit records reviewed.

The agency failed to ensure that each home care patient's written individualized plan of care (POC) included all items listed in the standard, in 4 of 5 cases (Records/Patients #1, #2, #3, and #4). - (iii) The types of services, supplies, and equipment required (#1, #2) - (iv) The frequency and…

The agency failed to assure communication with all physicians involved in the plan of care in one of six (Record/Patient #2) cases.