St Luke's Home Health Services, Inc

The agency failed to ensure the clinical record was completed for one of four sampled patients (Patient 1).

The agency failed to ensure the written visit schedule provided to one of four sampled patients (Patient 4) was consistent with the patient's most current plan of care.

The agency failed to ensure the SN provided education to the patient/PCG as per the POC for two of four sampled patients (Patients 1 and 2).

The agency failed to ensure the emergency preparedness plan included strategies for addressing emergency events identified by the risk assessment.

The agency failed to ensure the emergency preparedness plan included the communication plan that address how the facility interacts and coordinates with emergency management agencies and systems to protect patient health and safety in the event of a disaster.

The agency failed to ensure the OASIS data were transmitted within 30 days of completing the OASIS data sets.

The agency failed to ensure the clinical records were electronically signed and dated for one out eight sampled patients (Patient 1).

The agency failed to ensure the medication profiles were reviewed and updated for two of eight sampled patients (Patients 2 and 3).

The agency failed to ensure to follow the physician's orders for two of eight sampled patients (Patients 5 and 8).

The agency failed to ensure the patient and PCG were provided education regarding the care identified in the POC for five of eight sampled patients (Patients 1, 5, 6, 7, and 8).

The agency failed to ensure the agency’s skilled professionals prepared accurate clinical notes for two of eight sampled patients (Patient 2 and 7).

The agency's Administrator failed to be responsible for the agency's day-to-day operations which included: -The written agreements failed to address the role of the agency and the contracted individual in discharge planning for Contractors 3 and 4. -The implementation of the agency's P&P related to…

The agency failed to ensure the emergency preparedness plan included the process for cooperation and collaboration with the local, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation.

The agency failed to ensure the agency's emergency preparedness P&P addressed the procedures to inform the State emergency preparedness officials about the patients in need of evacuation from their residences due to an emergency situation based on the patient's medical and psychiatric condition and…

The agency failed to develop the communication plan to include the name and contact information for the entities providing the services under arrangement and the patients’ physicians, creating the risk of not able to contact or request for assistance during emergency events.

The agency failed to implement infection control practices related to hand hygiene and the use of a medical equipment for one of eight sampled patients (Patient 3).

The agency failed to implement and maintain the infection control program which included surveillance, identification, prevention, and control, creating the risk of the spread of infections.

The agency failed to ensure the written assignment for CHHA was accurately prepared by the RN for one of eight sampled patients (Patient 1), creating the risk of not providing the necessary care and services to this patient.

The agency failed to ensure the comprehensive assessment was completed accurately in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the start of care for one of eight sampled patients (Patient 4), creating the risk of not providing the…

The agency failed to ensure the medication profiles were updated to reflect the patients' current medications; included specific indications and parameters for their use; and identified actual or potential drug interactions for three of eight sampled patients (Patients 3, 4, and 7).

The agency failed to assess the PCG’s competency related to the wound care management for one of eight sampled patients (Patient 7).

The agency failed to ensure the POC included specific information related to the medication administration for one of eight sampled patients (Patient 1).

The agency failed to coordinate the care to meet the patients' care needs for two of eight sampled patients (Patients 1 and 4).

The agency failed to ensure the SN had provided education to the patient/PCG related to the patient’s medication as per the POC for one of eight sampled patients (Patient 8), creating the risk of not providing the necessary care and services to this patient.

The agency failed to provide the written instructions outlining the visit schedules for three of eight sampled patients (Patients 3, 4, and 5).

The agency failed to ensure the care and services were provided in accordance with the POC for two of eight sampled patients (Patients 2 and 8).

The agency failed to ensure the agency's skilled professionals prepared the accurate and complete clinical notes for three of eight sampled patients (Patients 2, 4, and 7).

The agency's Administrator failed to ensure responsibility for the day-to-day operations of the agency as evidenced by: * The agency failed to ensure the written agreements for four of the seven contractors (Contractors 1, 2, 3, and 4) included the required elements in the contracts related to…

The agency failed to ensure the discharge summary had all of the required elements related to the medications for one of eight sampled patients (Patient 6).