Ace Home Health, Inc.

An organization that provides skilled nursing and therapeutic services to a patient at home) failed to conduct a comprehensive review of all medications the patient was currently taking for two of seventeen (17) sampled patients (Patient 12 and Patient 13) who lived in an Assisted Living Facility…

The home health agency (HHA) failed to accurately complete the comprehensive assessment for one of seventeen patients (Patient 11).

The home health agency (HHA) failed to follow the written plan of care for two of seventeen patients (Patients 3 and 12).

The home health agency (HHA) failed to implement COVID-19 (an acute respiratory illness) infection policies and procedures.

The physical therapist (PT) failed to administer treatments as ordered by the physician for one of 17 patients (Patient 2).

The home health agency (HHA) failed to maintain an accurate and current medication profile for one of seventeen patients (Patient 12).

The agency's skilled nurses failed to administer D5 1/2 Normal Saline with MVI (multivitamin injection) 10 ml IV (intravenously) as ordered by the physician for one out of 17 patients (Patient 2).

The home health agency (HHA) failed to follow the plan of care (POC) for one of 17 patients (Patient 16).

The skilled nurse (SN) failed to label the intravenous (IV) bag while administering IV fluids to a patient for one out of 17 patients (Patient 1).

The agency failed to ensure that the physical therapist assessed the pain level and provided pain management for one of seven patients (Patient 2).

The individualized plan of care must include the following:Patient-specific interventions and education Based on observation, interview, and record review, the HHA failed to ensure that the plan of care (POC) included patient specific interventions for two of four sample patients ( Patient 1 and 4).