Ut Southwestern Home Health Care

The agency failed to ensure a patient's right to be free from neglect by the agency's employees for one (Patients # 16 and 3) of two patients, in that: for Patient # 3 RN D did not timely follow up on urinary catheter care, urinary catheter change orders, RN E did not clarify, validate, and write…

The agency failed to ensure proper written notice was provided, in advance of terminating on-going care in one (Patients # 16) of three discharged patient records reviewed, where the patient required a written notice.

The agency failed to document both the existence of the complaint and the resolution of the complaint for one (Patients # 16) of two clients whose records were reviewed and who experienced adverse events, in that: the agency did not document the existence and resolution of Patient # 16’s complaint…

The agency failed to designate a governing body to assume full legal authority and responsibility of the agency’s overall operation of services and performance improvement program as evidenced by: No direct governing body was assigned to the agency.

The agency failed to ensure a client's right to be free from neglect by the agency's employees for 2 of 27 Clients (Client #6, #16), whose records were reviewed.

The agency failed to administer proper written notice to 1 of 27 patients (Patient #5), in advance of the home health agency termination of on-going care in that: 1) The agency failed to administer Notice of Medicare Non-Coverage to Patient #5 prior to Patient #5’s discharge.

The agency failed to include evidence of coordination of services with the physician in 6 (Identifier 1,4,5,6,7, and 8) of 17 patient records reviewed when the patients' had blood pressure, pulse and pain rates that were too high or low.

The agency failed to ensure the patients’ right for 5 (Patients 1,2,3,4,5) of 5 patients to be advised of the contact information for the following Federally-funded and state-funded entities: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, and Aging and Disability…