St Anthony Regional Hospital and Nursing Home

The agency failed to perform a complete and accurate drug regimen review with each comprehensive assessment for 1 of 3 sampled patients with a home observation visit (Patient #2).

The agency failed to ensure accurate completion of all components comprising the Plan of Care (POC), including all medical supplies/equipment, all medications, and treatments used by the patient for 2 of 3 sampled patients with home visits (Patients #1 and #3).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patient…

The agency failed to provide a complete wound assessment on a weekly basis per agency policy for 1 of 1 sampled patient with a wound (Patient #1).

The agency failed to include all Durable Medical Equipment (DME) in Plans of Care for 2 of 3 home visits (Patient #1 and #3).

The agency failed to ensure coordination of patient between Licensed Practical Nurse (LPN) and Registered Nurse (RN) for 1 of 1 sampled patients (Patient #3) and failed to ensure clinicians followed agency policies and procedures when assessing wounds and performing negative pressure wound therapy…

The hospice failed to ensure the development of a policy and procedure for a medical documentation system that preserves patient information and confidentiality of patient information and annual policy review.

The agency failed to ensure training in emergency preparedness policies and procedures to all agency employees and individuals providing services under arrangement.

The agency failed to provide individualized and specific written patient care instructions from a registered nurse to agency home health aides for 1 of 2 sampled patients receiving home health aide services (Patient #4).

The agency failed to update the Plan of Care with all new physician orders for 6 of 6 sampled patients with interim physician orders.

The agency failed to provide medications, treatments or services only as ordered by the physician for 1 of 3 sampled patients with wounds (Patient #6).