Southeast Alabama Homecare

The staff failed to maintain sterile technique for the drainage of a vacuum bottle system and dispose of drained pleural fluid per the agency procedure.

The Physical Therapist (PT) failed to meet the appropriate qualifications due to no current Cardiopulmonary Resuscitation (CPR) documentation.

The agency failed to ensure an accurate medication list was maintained for each patient.

The agency staff failed to include patient specific interventions for the administration of ordered Cyanocobalamin (Vitamin B-12) injections in the Plan of Care (POC).

Staff interview the agency staff failed to. a.

The agency failed to ensure the provider was notified of significant changes in the patient condition.

Staff interviews the agency staff failed to provide patient education and/or document the patient or caregiver was able to provide a return demonstration to ensure competency of the following plan of care responsibilities: a.

The agency failed to ensure a discharge summary was sent to the health care provider who would be providing care after discharge.

The agency staff failed to follow facility policy and procedure when discharging for cause including notification of the patient and caregiver a discharge for cause was being considered by the agency, make and document efforts to resolve problems presented by the patient's behavior and/or situation…

The agency staff failed to follow facility policy and procedure for the administration of Intravenous (IV) medications.

The agency failed to follow their policy for complaint investigation and documentation of complaints, their investigation and follow-up through resolution.

The agency staff failed to follow facility policy and procedure when discharging for cause.

The agency staff failed to notify the patient and caregiver a discharge for cause was being considered by the agency.

The agency staff failed to make efforts to resolve problems presented by the patient's behavior and/or situation.

The agency staff failed to provide contact information for other agencies and/or services available to the patient and/or caregiver.

The agency failed to provide Hepatitis B vaccine when requested.

The agency failed to ensure the plan of care developed for the Home Health Aide (HHA) was individualized to meet the needs of the patient.

The agency failed to ensure staff updated and maintained an accurate medication profile for each patient per the agency policy.

The agency failed to ensure the plan of care wound care orders included the frequency of dressing changes.

The agency failed to ensure physician verbal orders were signed by the physician within 30 days.

The agency failed to notify the physician of deterioration of wounds affecting 1 of 6 records with wounds including MR # 7. This had the potential to affect all patients with wounds served by the agency.

The agency staff failed to ensure care was coordinated with the physician regarding patient's blood sugar monitoring and swallowing difficulty.

The agency failed to ensure patients / caregivers were provided education and/or a return demonstration was obtained to ensure competency of: 1. Wound care.

The agency failed to document correctly in the clinical record.

The agency failed to ensure the Home Health Aide (HHA) notified the nurse when he/she was not able to follow the Plan of Care (POC).

The agency failed to ensure staff assessed the after hours needs of the patient and responded within 30 minutes of the call as directed in agency policy.