Together Homecare of Indianapolis, LLC

The agency failed to ensure patients/caregivers were provided an option or given a preference in the way patient Plans of Care and Medication information and instructions were received, in 3 of 3 home visits.

The agency failed to ensure patients/caregivers received their most recent plans of care for 3 of 3 home visits observed.

The agency failed to ensure staff adhered to infection prevention standards in 2 of 3 home visits observed.

The agency failed to ensure patients' medication, weight, and safety measures to protect against injury were accurately reflected on the Plan of Care/485, in 2 of 5 active charts reviewed.

The agency failed to ensure patients/caregivers had received a recent medication list, in 3 of 3 home visits observed.

The agency failed to ensure a discharge summary was completed and sent to the physician within 5 days upon discharge, in 1 of 2 closed records reviewed.

The agency failed to ensure plan of care was individualized for 1 of 4 active records reviewed (Patient 2).

The agency failed to ensure all patients received an age-appropriate comprehensive assessment that accurately reflected the patient's health, psychosocial, functional, and cognitive status in 2 of 4 active records reviewed.

The agency failed to ensure all patients received an age-appropriate comprehensive assessment that accurately reflected the patient's health, psychosocial, functional, and cognitive status in 2 of 4 active records reviewed.

The agency failed to ensure verbal orders were complete and contained specific duties/ services to be provided and failed to ensure the physician was notified after the completion of the comprehensive assessment in 2 of 4 active patients reviewed.

The agency failed to ensure a patient, with a "FULL CODE" status, was not neglected and CPR (Cardiopulmonary resuscitation) was provided and failed to ensure the agency protected other other patients by following their policy in suspending an employee and completing a full and complete…

The agency failed to ensure the home health aide was able to meet the patient needs by ensuring a patient received CPR (CardioPulmonary Resuscitation) when it was observed that the patient was going into cardiac arrest for 1 of 1 closed patient record reviewed of a patient who went into cardiac…

The home health aide failed to ensure they followed the aide care plan (see tag G798); failed to ensure they followed the plan of care and by providing CPR (Cardiopulmonary Resuscitation) patient with a full code status and failed to perform tasks within their scope of practice permitted under…

The HHAs (home health aide) failed to ensure they followed the aide care plan for 2 of 3 clinical records reviewed (Patient # 3 and #4) of patients with diabetes in a sample of 8. Findings include: 1. Review of the undated agency job description titled "Position: Home Health Aide," Policy # JD-125…

The agency failed to ensure a patient, with a "FULL CODE" status, was not neglected and CPR (Cardiopulmonary resuscitation) was provided and failed to ensure the agency protected other patients by following their policy in suspending an employee and completing a full and complete investigation of…

The agency failed to ensure the clinical records evidenced documentation of communication between the Registered Nurse and the Home Health Aide in 2 of 3 closed records reviewed of patients with diabetes receiving home health aide services.

The HHA (home health aide) failed to ensure they followed the plan of care and by providing CPR (Cardiopulmonary Resuscitation) patient with a full code status for 1 of 1 closed records reviewed of a patient who went into cardiac arrest (#3) and failed to perform tasks within their scope of…

The home health aides failed to ensure they only provided assistance with medications not not actual administration to 2 of 8 patients (patient #3 and 4) with records reviewed.

The Home Health Aides (HHA) failed to ensure they notified the RN (Registered Nurse) case manager when there was a deviation of services being provided from what was ordered in the plan of care and aide care plan in 2 of 2 (patient #3 and 4) closed patients records reviewed with diabetes and…

The agency failed to ensure a the clinical record contained all pertinent information, observations, communication, and documentation of care provided for 2 of 3 (Patient #3 and #4).closed record reviewed of patients transferred to the hospital that were receiving home health aide services in a…

The agency failed to ensure all staff practiced proper hand hygiene, and followed infection control policies and procedures for 2 of 3 (#2, and 3) home visit observations conducted.

The agency failed to ensure the plan of care included frequency and duration for the skilled nurse interventions and supervisory visits for 3 of 5 active patients records(#1, 4, 5) and 2 of 2 closed patients records (#6, #7).