Trek Healthcare

The agency failed to ensure the ordering provider was notified of patient declination of prescribed treatment orders for occupational therapy (OT) services from the original referral for 1 (#4) of 7 sampled patients.

The agency failed to adhere to infection control practices regarding hand sanitizing and glove changes, and failed to use an effective product for cleansing equipment for 1 (#5) of 7 sample patients.

The agency failed to ensure a patient was assessed within 48 hours of the referral; failed to ensure the comprehensive assessment was completed; and failed to initiate the comprehensive plan of care within 5 days of the referral for 1 (#7) of 7 sampled patients.

The agency failed to complete a medication regimen review to identify any potential adverse medication side effects, including significant medication interactions, and duplicate therapy for 1 (# 4) of 7 sampled patients.

The agency failed to ensure the individualized plan of care included the frequency and duration of visits to be made by the prescribed services, for 3 (#s 3, 4, and 7); and failed to ensure the ordered skilled nursing services included patient-specific interventions, education, measurable outcomes…

The agency failed to revise the patient’s Plan of Care with treatment orders for ordered wound care for 1 (#3) of 7 sampled patients.

The agency failed to ensure the supervisory visit of the Home Health Aide (HHA) was completed and documented in the patient medical record every 14-days for 1 (#3) of 7 sampled patients.

The agency failed to accurately encode a Discharge OASIS for 1 (#2); and failed to accurately encode an Initial SOC OASIS for 1 (#3) of 11 sampled patients.

The facility failed to ensure staff used adequate cleaning/disinfecting product for cleaning/disinfecting reusable equipment for 1 (#7) of 11 sampled patients.

The agency failed to update the POC (485) when services were added during the patients' certification period for 8 (#s 1, 2, 4, 5, 6, 7, 9, and 10) of 11 sampled patients.

The agency failed to ensure new, physician ordered services were completed within an adequate time frame for 1 (#11) of 11 sampled patients.

The agency failed to ensure all staff whom provided home visits maintained a current cardiopulmonary resuscitation (CPR) certification.