Tender Care Home Health

The home health agency (HHA) failed to ensure the annual emergency preparedness (EP, the steps taken to make sure patients and staffs are safe before, during and after an emergency or natural disaster) in-service training drill for field staffs was completed on an annual basis.

The home health agency failed to provide documented evidence of a Quality Assessment and Performance Improvement (QAPI) program based upon identified or negative patient care outcomes and measurable indicators to evaluate changes in policy, procedure, and intervention.

LVN 4 (license vocational nurse) failed to maintain aseptic technique (free from contamination, to prevent spread of infection), as ordered while providing wound care for one of 14 sample patients (Patient 1).

The home health agency (HHA) failed to provide written notice of patient rights to one of 17 sampled patients ( Patient 8) in Spanish.

The Home Health Agency (HHA) failed to maintain an accurate, current medication profile for two of 17 patients (Patients 1 and 6).

The skilled nurses failed to administer drugs and treatments as ordered by the physician for one of 17 patients (Patient 1).

The Home Health Agency (HHA) failed to provide education for three of 17 patients (Patients 1,11 and 14). a.

The home health agency failed to develop an emergency preparedness plan for 17 of 17 sample patients (Patients 1 through 17).

The home health agency (HHA) staff failed to review all the medications, and clarified with the physician regarding the discrepancies for one of 17 sample patients (Patient 4).

RN 2 (visiting nurse) failed to ensure the patient knew how to administer an intravenous (IV) antibiotic and how flush the IV site, and correct labeling of open insulin vials for one out of 17 patients (#4).

The home health agency (HHA) failed to follow the plan of care and monitor the blood sugar for one of 17 sample patients.