South Arkansas Home Health

The Agency failed to ensure the established individualized Plan of Care (POC) was followed regarding Skilled Nurse (SN) visits scheduled in 1 (#9) of 17 (#1 - #17) Clinical Records reviewed.

The agency failed to ensure all medications were included in the medication regimen review in 2 (#1 and #3) of 17 (#1 -#17) clinical records reviewed.

The Agency failed to develop a patient specific written Plan of Care (POC) with current treatments and patient specific interventions for meeting the patients' needs in 1 (#1) of 17 (#1-#17) Clinical Records reviewed.

The Agency failed to conduct a patient assessment when made aware of a significant change in patient condition in 1 #12 of 17 (#1 - #17) clinical records reviewed.

The Skilled Nurse (SN) failed to include Oxygen (O2) during the review of the patients medications in 1 (#8) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) failed to alert the Physician of relevant findings for the patient in 1 (#12) of 17 (#1 - #17) Clinical Records reviewed.

The Agency did not to ensure the Plan of Care (POC) was individualized and identified patient-specific outcomes for pain monitoring for 10 (#1 - #4, #6, #8, #10 - #13) of 14 (#1 - #14) Clinical Records reviewed.

The Skilled Nurse (SN) failed to follow the Attending Physician orders for patient specific interventions for wound measurement and weight monitoring contained in the Plan of Care in 2 (#2 and #11) of 14 (#1 - #14) Clinical Records reviewed.

The Agency did not develop Performance Improvement Projects (PIP) for 2019 for Quality Assessment/Performance Improvement (QAPI) program activities or data.

The Agency did not ensure all disciplines as ordered by the Physician conducted an Initial Evaluation within 5 days of the Start of Care (SOC) as part of the Comprehensive Assessment in 1 (#4) of 10 (#1, #2, #4 - #8, #11, #12, and #14) Clinical Records reviewed.

The Agency did not ensure a Registered Nurse (RN) conducted a review of medications in 1 (#1) of 1 (#1) therapy only Clinical Records.

The Registered Nurse (RN) failed to notify the Physician when the updated Comprehensive Assessment indicated a change condition in 1 (#8) of 4 (#5 - #8) Clinical Records reviewed.

Personnel Record review and staff interview the Agency did not ensure Criminal History Record Checks and Arkansas Department of Health (ADH) Determination Letters were present and current (no less than one time every five years as required for continued employment) in 1 of 1 (100%) Aide Personnel…