Unison Health Services, Inc

An organization that delivers skilled nursing and other therapeutics service to a patient at home) did not develop an individualized plan of care (POC, an individualized plan of care that summarizes the patients’ health condition, specific care needs, current treatments, and the disciplines…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…

The HHA failed to conduct consistent and accurate wound reassessments that reflected the patients’ actual wound status for two of seventeen sampled patients (Patient 7 and Patient 12). -For Patient 7, the HHA Skilled Nurse failed to perform consistent wound reassessments of the patient’s surgical…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that the patient received the home health services as written in the individualized plan of care (POC, an individualized plan of care that summarizes the patients’ health condition…

An organization that delivers skilled nursing and other therapeutics services to a patient at home) failed to ensure that entries in patients’ clinical records were signed, dated, and clearly identified as original or modified for one of seventeen sampled patients (Patient 12).

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure The HHA failed to conduct a complete and accurate review of all medications and failed to update the medication profile with the medications currently being used by one of seventeen…

An organization that delivers skilled nursing and other therapeutics services to a patient at home) failed to ensure HHA staff notified the physician for a change of condition for one of seventeen sampled patients (Patient 12) by: 1. Failing to ensure Patient 12’s physician was notified of Patient…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that the patient’s individualized plan of care (POC) was promptly reviewed and updated to reflect significant changes in the patient’s condition for one (1) of seventeen sampled…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure effective coordination of care among all the clinicians involved in the patient’s treatment for one of seventeen sampled patients (Patient 12) by: Failing to coordinate with the…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that required patient education was provided as part of the individualized plan of care for one of seventeen sampled patients (Patient 7) by: Failing to ensure that Patient 7 and…

An organization that delivers skilled nursing and other therapeutics services to a patient at home) failed to ensure Licensed Vocational Nurse 1 (LVN 1) notified the healthcare team (physician, Director of Patient Care Services [DPCS] and Registered Nurse [RN]) of worsening sacral (bone area…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure patients' clinical record contained complete, timely, and authenticated physician orders and assessment for three out of seventeen sampled patients (Patient 1, Patient 2…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that all interventions, including missed skilled nursing visits, outreach attempts to patients/patient’s caregiver, coordination of care in regards with the wound care treatment…

The home health agency failed to perform hand hygiene after removing pair of gloves used to remove soiled dressing, and prior to providing wound care for two of 17 sample patients (Patients 1 and 2).

The home health agency failed to ensure patient rights and responsibilities information were provided in a language easily understood by one of 17 patients (Patient10).

The home health agency (HHA) failed to document an alleged complaint of patient neglect (an act or failure to act which presents an imminent risk of serious harm), and the resolution (decision) of the complaint for one out of 17 sampled patients (Patient 8).

The home health agency failed to complete the comprehensive assessment (the required in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver that will be addressed by the home health agency's…

The home health agency (HHA) failed to maintain an accurate, and current medication profiles for 2 of 17 sampled patients (Patients 9 and 10).

The Home Health Agency (HHA) failed to coordinate care and delivery of services from the skilled nursing facility (SNF) in reference to the severity of the patient's wounds for one of 17 sampled patients ( Patient 8).

The Home Health Agency (HHA) failed to ensure Patient 9's blood sugar level was monitored and documented in accordance with the plan of care (POC) for one of 18 sampled patients (Patient 9).

The home health agency (HHA) failed to provide a copy of a recent, updated plan of care for one of eighteen sampled patients (Patient 3).

The home health agency (HHA) staff failed to observe infection control precautions for one of eighteen sampled patients (Patient 2).

The Home Health Agency (HHA) failed to provide and/or obtain information regarding the advance directive (a written statement of a person's wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the person be unable to communicate them…

The home health agency (HHA) failed to ensure that one of eighteen sampled patients (Patient 2) was provided with informed consent and provided with a Patient Handbook in a language the patient understood.

The home health agency (HHA) failed to maintain an accurate, current medication profile for five of 18 sampled patients (Patient 2, Patient 3, Patient 4, Patient 10, and Patient 11).

The home health agency (HHA) nursing staff failed to assess the pain level (intensity) as indicated in the plan of care, for two of 18 sampled patients (Patient 9 and Patient 11).

The agency staff failed to follow the plan of care (POC) for two of 18 sampled patients (Patient 8 and Patient 11).

The Home Health Agency (HHA) failed to ensure the designated attending physician was notified and notification was documented when an ordered home visit service was missed for one of 18 sampled patients (Patient 10).