Upmc Home Healthcare of Western Pennsylvania

The agency failed to ensure the Plan of Care (POC) contained supplies and equipment required for eight (8) of seventeen (17) CRs reviewed (CR1,2,5,7-9, 13 & 17), patient specific interventions and measurable outcomes for seven (7) of seventeen (17) CRs reviewed (CR2, 5, 7, 9, 11, 13, &17) Findings…

The agency failed to ensure patient medication instructions, include medication name, dosage/frequency and indication for as needed medications for six (6) of seventeen (17) CRs reviewed (CR2-5, 9, & 17) Findings included: Review of agency policy on March 2, 2021 at approximately 11:45 am revealed…

The agency failed to ensure periodic supervision of skilled professional assistants (PTA-physical therapy assistants, COTA-occupational therapy assistants) occurred and evident in the clinical record for three (3) of four (4) CR reviewed of whom received therapy services to include physical therapy…

The agency failed to ensure skilled professionals prepared clinical notes are written the day service is rendered and incorporated no less often than weekly for twelve (12) of 21 clinical records reviewed (CR 3, CR 5, CR 6, CR 7, CR 8, CR 10, CR 11, CR 16, CR 18, CR 19, CR 20, CR 21).

Staff (EMP) the agency failed to ensure the initial assessment was completed within 48 hours of referral for one (1) of five (5) clinical records reviewed for which therapy was the only service ordered.

The agency failed to ensure comprehensive assessments are completed no later than 5 calendar days after the start of care (SOC) for eight (8) of 21 clinical records reviewed (CR 8, CR 10, CR 11, CR 16, CR 18, CR 19, CR 20, CR 21).

The agency failed to obtain within seven days (per state licensure) a physician's counter signature for verbal ordered care for twelve (12) of 21 clinical records reviewed (CR 1, CR 3, CR 5, CR 6, CR 7, CR 8, CR 9, CR 11, CR 12, CR 14, CR 16, CR 17).

The agency failed to ensure skilled professionals prepared clinical notes per agency policy for twelve (12) of 21 clinical records reviewed (CR 3, CR 5, CR 6, CR 7, CR 8, CR 10, CR 11, CR 16, CR 18, CR 19, CR 20, CR 21).

The clinical manager failed to ensure timely implementation of skilled professional completion of initial assessments, comprehensive assessments and/or obtained countersignature of ordering physician for verbally ordered plans of care for seventeen (17) of 21 clinical records (CR 1, CR 3, CR 5, CR…

The agency failed to ensure skilled professionals prepared clinical notes are written the day service is rendered and incorporated no less often than weekly for twelve (12) of 21 clinical records reviewed (CR 3, CR 5, CR 6, CR 7, CR 8, CR 10, CR 11, CR 16, CR 18, CR 19, CR 20, CR 21).