Upper Peninsula Home Health & Hospice

The agency failed to provide all services ordered in the physician referral in 3 (P-10, P-12, and P-13) of 6 records reviewed with multiple services identified in the referral, from a total sample of 17 records reviewed, resulting in unmet patient care needs and the potential for poor patient…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 10 (P#’s 2, 3, 4, 5, 6, 7, 8 ,9, 10,16) of 17 records reviewed, resulting unmet patient care needs and the potential for poor clinical outcomes.

The home health agency failed to ensure the patient's Medical Social Work (MSW) needs were adequately met in the patient's home for 1 (P-17) of 1 patient with identified needing MSW services, from a total of 17 sampled records reviewed, resulting in unmet care needs and the potential for a poor…

The agency failed to ensure the Plan of Care included objectively measurable and individualized goals in 8 (P#’s 1, 4, 5, 7, 8, 9, 10, and 17) of 17 records reviewed; and safety precautions in 4 (P#’s 3, 5, 7, 9) of 17 records reviewed, resulting in a potential for failure to measure progress…

The agency failed to ensure all patient care orders were recorded in the Plan of Care from Skilled Nursing in 1 (P-10) of 3 records reviewed with wound care needs out of a total sample of 17 sampled records reviewed, resulting in a lack of physician oversight and input regarding the patient's plan…

The agency failed to ensure the physician was notified of changes in the patient's condition in 1 (P-16) of 3 records reviewed with congestive heart failure, resulting in the potential for a poor clinical outcome.

The agency failed to ensure a discharge summary was complete, provided the patient's health status at the time of discharge, and progress toward goals in 1 (P-10) of 5 discharged records from a total sample of 17 records reviewed; and failed to ensure a transfer summary was sent to the…

The Agency failed to ensure the Registered Nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status for 4 of 17 (MR's #2, 8, 11, 16) records in which Skilled Nursing services were ordered, from a total…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included accurate dates of onset/exacerbation, past treatments and outcomes, and history of events leading to current home care…

The agency failed to ensure the physician was notified of potential drug interactions for 2 of 17 (MR# 15, 9) records reviewed, resulting in the potential for harmful medication effects for these patients.

The agency failed to ensure the plan of care included measurable and individualized goals and outcomes as required in 17 of 17 records reviewed out of a total sample of 17 records reviewed (MR #1-17).

The agency failed to ensure a complete individualized plan of care was written for the home health aide in 1 of 7 records reviewed in which home health aide services were ordered out of a total sample of 17 records reviewed (MR #13).

The skilled nurse failed to follow agency policy as required regarding supervision of Home Health aide (HHa) services in 2 of 7 records in which home health aide services were provided (MR#s 3 and 4).

The agency failed to ensure the professional staff communicated with the physician related to the delay or cancellation of ordered services in 2 of 17 records; and failed to notify the physician of the patient's elevated weights, increased blood glucose levels and elevated blood pressure in 2…

The Agency (HHA) failed to ensure that nursing services provided an ongoing interdisciplinary assessment of the patient's care in accordance with the physician's orders and the plan of care (POC) in 1 of 7 records reviewed in which multiple skilled services were ordered, from a total sample of 17…

The agency (HHA) failed to ensure that nursing services were administered in accordance with the physician's orders and the plan of care (POC) in 1 records with ordered wound care services, 2 records with ordered vital signs that included oxygen saturations and weights; and 5 records with ordered…

The agency (HHA) failed to ensure that the discharge summary was complete, provided the patient's current health status at discharge and progress toward goals, and forwarded to the physician in 4 of 5 closed records, from a total of 17 records reviewed, (MR's #7, 11, 12, 16) resulting in the…