Visiting Nurse Service of Fredericksburg

The agency failed to provide the names, addresses, and telephone numbers of the Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource Center; and the Quality Improvement Organization where the patient resides for six (6) of six (6) patients…

The agency failed to ensure the patient's individualized plan of care included a description of the patient's risk for emergency department visits and hospital re-admissions, and patient stated goals for seven (7) of seven (7) patients whose records were reviewed in the survey sample and admitted…

The agency staff failed to follow physicians orders for wound care on two (2) of four (4) patients in the survey sample receiving wound care (patients #2 and 5).

Agency staff failed to follow infection control guidelines when performing wound care for one (1) of three (3) patients that were observed on home visits during the survey process (patient #2).

The agency failed to send the patient's discharge summary to the primary care physician within 5 business days from the date of the final visit for two (2) of two (2) discharged patients admitted on or after 01/13/2018 reviewed in the survey sample (patient #6 and 7).