Webster County Health Department

The home health aide visit notes, dated 1/27, 1/30/26, 2/3 and 2/6/26, completed by Staff E, Home Care Aide (HCA), failed to include Staff E's electronic signature to include the discipline.

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral for 1 of 6 sampled patients with admissions since last survey (Patient #3).

The home health agency failed to ensure the drug regimen review identified at a minimum the effectiveness of drug therapy, drug side effects, actual or potential drug interactions, duplicate drug therapy, and/or patient compliance with medications for 1 of 3 sampled patients with home observation…

The agency failed to ensure accurate completion of all components comprising the Plan of Care (POC), including all medical supplies/equipment, all medications, and treatments used by the patient for 2 of 3 sampled patients with observation home visits (Patients #2 and #3).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 3 sampled patients receiving home health aide services (Patients…

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks…

The agency failed to send a transfer summary 2 business days of becoming aware of transfer and discharge summary other health care professionals who would be providing care to the patient after discharge within 5 business days for 1 of 1 patient's discharged from the agency and transferred to…

The agency failed to ensure registered nurses provided individualized and specific written patient care instructions to agency home health aides for 1 of 4 sampled patients receiving home health aide services (Patients #4).

The agency failed to ensure completion of an update to comprehensive at the time of discharge within 2 calendar days of identification of the need to discharge a patient for 1 of 1 sampled patients requiring a discharge comprehensive assessment (Patients #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 2 of 3 sampled patients (Patients #1 and #3) with a home visit observation.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 4 sampled patients receiving home health aide services (Patients…

The agency failed to have a policy and procedure to notify State and local officials of any on-duty staff or patients the agency was unable to contact.

The agency failed to have a written policy and procedure for the use of volunteers in an emergency, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles initially and annually thereafter for 6 of 10 employees employed by contract; 14 of 14 directly hired staff currently working for the agency and 1 staff directly hired staff who…

The agency failed to ensure all documentation in the clinical record included a date, time, staff signature and staff title for 3 of 3 sampled patients (Patients #2, #3 and #6) receiving contracted therapy (Occupational and Physical therapy) services.

The agency failed to accurately complete a drug regimen review, including completion of all required components within the required time frames as part of the comprehensive assessment for 4 of 7 records reviewed (Patients #1, #2, #4 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 5 of 7 sampled patients (Patients #2, #3, #4, #5 and #7).

The agency failed to update the Plan of Care with all new physician orders for 5 of 7 sampled patients with interim orders.

Patient interview and staff interview the agency failed to provide medications, treatments or services only as ordered by the physician for 2 of 7 sampled patients (Patients #1 and #2).

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 2 of 7 sampled patients (Patients #2 #4).

The agency failed to ensure agency staff communicated and coordinated with the physician and all health practitioners involved in the plan of care for 3 of 7 patients (Patients #2, #3 and #4).

The agency failed to ensure the clinical record included the patient's current physician orders, or had misfiled physician orders in another patient's medical record for 4 of 11 sampled patients (Patient #4, #9, #10, #11).

The agency failed to ensure the patient's clinical record included accurate and specific documentation of wound assessment measurements for 1 of 2 sampled patients (Patient #6) with wounds.