San Diego Home Health Care Services Inc

The agency failed to ensure a clinician performed hand hygiene during one of seven home visits.

The agency failed to ensure a written patient-specific instruction for Certified Home Health Aide (CHHA) were complete and individualized for one of two patients reviewed who received CHHA services (Patient 3).

The agency failed to ensure services were provided as ordered by the physician for one of 18 sampled patients (Patient 6).

The agency failed to obtain a physician's signature on the plan of care within 30 days per the agency's policy, for one of 18 sampled patients (Patient 7).

The home health agency failed to promptly notify the physician of an abnormal laboratory (lab) result for one of 18 sampled patients (Patient 7), in accordance with the agency's policy and procedure for monitoring and reporting patient responses.

The agency failed to provide physical therapy visits as ordered in the plan of care for two of 18 sampled patients (Patient 6 and Patient 18).

The agency failed to ensure a certified home health aide (CHHA) performed duties according to patient’s plan of care and the scope of practice for a certified home health aide for one of seven home visits conducted.

The agency failed to ensure Certified Home Health Aide (CHHA) supervisory visits were conducted every 14 days for one of two sampled patients who received CHHA services that was reviewed (Patient 3).

The agency failed to complete patient visits as ordered for 2 of 17 sampled patients (10, 17).

The agency failed to ensure standards of infection control prevention were followed for 1 of 5 sampled patients (3) when the skilled nurse (SN) touched the door handle with a soiled glove.

The agency failed to ensure a PT used standard precautions when a tablet (hand held computer device for documentation) was dropped on the floor twice and not sanitized prior to placing it inside the bag with other personal care items for 1 of 8 sampled patients (2).

The agency failed to document efforts made to resolve problems when a complainant filed a complaint or grievance for 3 of 14 random patients who filed a complaint or grievance (4, 6, 14).

The agency failed to ensure a SN wrote, signed, and dated, the physician's verbal order for 1 of 8 sampled patients (8).

The agency failed to ensure a detailed CHHA care plan was developed for 1 of 8 sampled patients (1).

The agency failed to ensure employee's records were completed for 3 of 7 employees record review when: 1. The MSW did not have a physical exam and a documentation of the hepatitis B vaccination, 2. The DPCS did not have a physical exam, and; 3. The COTA did not have a documentation of the hepatitis…