Vitalcaring Group

The agency failed to ensure: 1. The patient received therapy services per referral orders for 1 (Patient #1) of 17 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, Patient #7, Patient #8, Patient #9, Patient #10, Patient #11, Patient #12, Patient #13, Patient #14, Patient…

The agency failed to ensure the registered nurse (RN) performed hand hygiene after removing gloves and prior to applying sterile gloves for 1 (Patient #6) of 7 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, and Patient #7) sampled patients observed during home visits.

The agency failed to ensure all infections were included in the agency’s infection control logs to ensure appropriate surveillance and investigation of infectious diseases for 3 (Patient #1, Patient #12, and Patient #15) of 4 (Patient #1, Patient #5, Patient #12, and Patient #15) sampled patients…

The agency failed to ensure patients had an accurate medication reconciliation of all medications currently taking for 5 (Patient #1, Patient #2, Patient #3, Patient #4, and Patient #6 ) of 7 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, and Patient #7) sampled patients…

The agency failed to ensure the skilled nurse notified the patient’s physician with a change in wound status for 1 (Patient #1) of 17 (Patient #1, Patient #2, Patient #3, Patient #4, Patient #5, Patient #6, Patient #7, Patient #8, Patient #9, Patient #10, Patient #11, Patient #12, Patient #13…

The agency failed to ensure the skilled nurse obtained a mid-upper arm circumference or ankle circumference when a congestive heart failure patient was unable to stand for daily weights for 1 (Patient #15) of 5 (Patient #1, Patient #3, Patient #5, Patient #7, and Patient #15) sampled patients with…

The agency failed to ensure the patient’s physician was notified when a new wound was identified for 1 (Patient #1) of 3 (Patient #1, Patient #2, and Patient #3) sampled patients reviewed for change in condition.

The agency failed to ensure the patient’s wounds were measured and assessed per professional standards for 1 (Patient #1) of 3 (Patient #1, Patient #2, and Patient #3) sampled patients reviewed for nursing assessment.

The agency failed to ensure patients had an accurate medication reconciliation for 2 of 7 sampled patients (Patient #2 and Patient #4) reviewed for medication reconciliation during home visits in a total sample of 17. Findings: Patient #2 Review of Patient #2's Home Health Certification and Plan of…

The agency failed to ensure a review was conducted of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and…

The agency failed to ensure: I. when services are provided on the basis of a physician's verbal orders, a nurse acting in accordance with state licensure requirements, or other qualified practitioner responsible for furnishing or supervising the ordered services, in accordance with state law and…

The agency failed to ensure a registered nurse or other appropriate professional who is familiar with he patient's plan of care and written patient care instructions made an onsite visit to the patient's home no less frequently than every 14 days for 2 of 17 patients reviewed (Patient #6 and…