Vision Home Health Care

The Agency failed to meet the Condition of Participation for Care Planning, Coordination and Quality of Care.

The agency failed to ensure skilled nursing visit records were accurate.

The Home Health Agency did not maintain educational records for the Home Health Aide (HHA).

The agency did not provide services as outlined in the plan of care when: 1. The agency’s licensed nursing staff did not complete a full physical assessment for Patient 3's edema in the lower extremities (edema is swelling which indicates fluid retention and possible cardiac strain).

Discharge planning included “Discharge when medical condition stable and patient no longer in need of skilled care.” Record review of the document “Chart” showed Patient 4’s doctor’s discharge order was not completed on 4/24/2024. The “Oasis -E1 Discharge note” dated 4/24/2024 indicated Patient 4…

The Agency’s licensed nursing staff did not notify the physician for a change in condition when: 1. Patient 2’s blood pressure had dropped; she complained of back pain and had no appetite.

The agency failed to coordinate wound treatment orders with a contracted wound care specialist.

The agency’s licensed nursing staff provided education on pain control measures which were outside his scope of practice and not ordered by the doctor.

Staff did not maintain a complete and up-to-date clinical record for 4 of 12 sampled patients (Patients 3, 4, 10 and 12) when visit notes were not completed.

The agency failed to ensure one (Patient 4) of nine sampled patients had a plan of care developed, no later than 48-hours of admission.

The agency failed to coordinate and provide Occupational therapy (focuses on your ability to participate in everyday activities) for one (Patient 5) as ordered by the physician.

The agency failed to maintain Physical therapy visits for one (Patient 5) according to the plan of care.