South Central Home Health Care

The agency failed to provide nursing services under adequate supervision of a registered nurse (RN), allowing licensed practical nurses (LPN)-skilled professional assistants- to supervise home health aides, evaluate/triage patient needs during agency after hours and care planning/coordination with…

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 5 of 6 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patients #1, #2, #3, #5…

The agency did not ensure the emergency preparedness program included a documented, facility-based and community-based risk assessment for pandemic illnesses/outbreaks.

The agency failed to follow accepted infection control standards of practice for personal protective equipment (PPE) during the Covid 19 pandemic by reusing disposable gowns and requiring multiple staff use the same disposable gowns.

The home health agency failed to ensure the clinical record included a copy of an individualized emergency plan developed as part of the comprehensive assessment and/or failed to ensure each patient received a copy of the individualized emergency plan to keep in the home for 7 of 7 sampled patients…

The agency failed to assure all clinician's followed basic infection control practices when providing care to agency patients for 1 of 3 sampled patients with home visits (Patient #3).

The agency failed to ensure a registered nurse performed direct observation of home health aide performance of all required basic home health aide (HHA) skills on a home health patient to determine satisfactory competency prior to allowing the home health aide to provide care independently to…

The agency failed to ensure the registered nurse updated the written patient care instructions for home health aides for 4 of 4 sampled patients receiving home health aide services (Patient #3, #4, #5 and #6).

The agency failed to provide agency patients with written contact information for the agency's administrator, including the administrator's name and contact information (telephone number and/or email address).

The agency failed to include an individualized assessment relating to the patient's current health status when completing comprehensive assessments for 2 of 2 sampled patients with wounds (Patients #3 and #7).

The agency failed to identify medication discrepancies at the time of the comprehensive assessment for 1 of 3 sampled patients receiving home visits during the survey (Patient #3).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current information for 3 of 7 sampled patients (Patients #2, #3 and #6).

The agency failed to maintain a working Plan of Care for patients and update the working Plans of Care with any new verbal/ interim physician orders for 5 of 5 sampled patients who had verbal orders after completion of the original Plan of Care.

The agency failed to provide agency patients with written contact information for the agency's clinical manager, including the clinical manager's name and contact information (telephone number and/or email address).

The agency failed to document ongoing coordinated skilled professional assessment when nursing and therapy services were provided in conjunction with each other and failed to assess/measure wounds thoroughly for 4 of 7 sampled patients (Patients #3, #5, #6 and #7).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 4 sampled patients receiving home health aide services (Patients #3 and #5).

The agency failed document all required components of home health aide supervision every 14 days when a skilled services was provided in conjunction with the aide services for 3 of 4 sampled patients receiving home health aide services for longer than 14 days (Patients #3, #4 and #5).