St Mary's Home Health Services, Inc

The agency failed to identify and utilize Patient 1's family member (FM) 1's strengths in support of patient-centered care, when Registered Nurse (RN) 1 ignored FM 1's knowledge of Patient 1's history of high blood pressure and suggestion for wound assessment during RN 1's initial comprehensive…

The agency failed to ensure infection prevention and control for one of 17 sampled patients (Patient 1) when: 1. The licensed vocational nurse (LVN) did not implement proper hand washing during wound care for Patient 1.

The agency failed to identify the durable medical equipment (DME) needs for one of 17 sampled patients (Patient 2) when physical therapist (PT) 1 did not assess the need of patient 1's shower chair during her initial comprehensive assessment.

The agency failed to initiate the start of care date (SOC) within 48 hours for one of 17 sampled patients (Patient 15), when the SOC was delayed by three days.

The agency failed to follow physician's order for one of 17 sampled patients (Patient 16), when wound care order was not followed by the registered nurse (RN) 1. This failure resulted in patient 16 not receiving the ordered wound treatment.