Unc Home Health

Staff interviews the agency registered nurses failed to perform glove changes and hand hygiene during wound care for 2 of 2 patients with registered nurse (RN) home visits conducted (#’s 16 & 19), failed to disinfect equipment for 1 of 2 RN home visits conducted (#19), and failed to disinfect a…

The agency registered nurses failed to notify the physician of treatments that were not completed as ordered for 2 of 7 patients with orders for wound care (patients #12 & 16).

The agency occupational therapist failed to include an order for a social worker (SW) visit in the plan of care for 1 of 3 patients with an order for SW visits (patient #15).

RN #7 completed the wound care to both legs and did not apply the tubigrip as requested.

Staff interviews the agency failed to follow the physician's orders related to visit frequency for 1 of 2 patients with occupational therapy services orders [#3]. The findings included: On 6/3/24 at approximately 3:25 pm, the policy, Home Health Care Coordination, was provided by the Director of…

Staff interviews the agency failed to provide services as order for 5 of 17 patients.

Failed to perform hand hygiene after coming in contact with contaminated surfaces, failed to disinfect personal jewelry after coming in contact with the patient’s skin and, failed to disinfect a permanent marker after handling it with a dirty glove; and the occupational therapist failed to perform…

The agency failed to obtain a urinalysis as ordered by the physician for 1 of 1 patient with an order for a urinalysis.

The agency failed to notify the physician that medical social work visits were not conducted as ordered for 3 of 4 patients with medical social work orders (#1, 4, 10); and to notify the physician a patient had a high level of pain for 1 of 17 patients reviewed (#17); and to notify the physician of…

Staff interview the agency failed to notify the physician of vital signs out of parameters for 6 of 21 patients (#7, 10, 14, 13, 15, and 18).

The agency failed to communicate a change in the Plan of Care [POC] related to wound care for 1 of 4 patients with an order for negative pressure wound therapy [wound vac] [#15]. The findings included: Patient # 15 had a Start of Care [SOC] date of 12/20/20 and a diagnosis of Dehiscence of…

The home health aide failed to follow the Plan of Care for 1 of 3 patients with a home health aide assigned (#4).