21ST Century Home Health Services Inc.

The agency failed to maintain an infectious and communicable disease prevention program for Staff members 1, 2, and 3, out of 8 sampled staff, when three staff members did not have up-to-date or completed Tuberculosis testing, two staff members did not have an influenza vaccine or declination and…

The agency failed to include recent Skilled Nurse 1's home visit notes in Patient 1's clinical record, one of 10 sampled patients, when requests for copies were not provided and were not in patient's records.

The agency failed to review the medications of Patient 1, one of 10 sampled patients, one medication, Nitrostat, had an expiration date of 8/2018. This failure had the potential to cause ineffective drug therapy to the patient and/or to identify drug reactions or side effects.

The agency failed to ensure personnel was qualified as 1. a Skilled Nurse, 2. Home Health Aide, and 3. Physical Therapy Aide when reference checks were not completed on three out of 8 sampled staff members prior to hire.

The agency failed to provide services according to accepted standards of practice when Skilled Nurse 1 did not use proper blood pressure (BP) technique on Patient 1, one of 10 sampled patients.