Adair County Health Department/Home Health Agency

The agency failed to ensure/document if staff were provided initial and annual Emergency Preparedness (EP) training, in one (Employee #3) of three employee files reviewed.

The agency failed to maintain a coordinated agency-wide infection control program that included infection control education for a contracted staff which affected one (Employee #3) of three employee files reviewed.

The agency failed to conduct the initial assessment visit to determine the immediate care and support needs of the patient within 48 (forty eight) hours of the patient’s return home in one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure an accurate and complete review of all medications was completed upon admission/SOC (start of care) and/or update of the patient’s medications was completed in one (Record/Patient #2) of five full records reviewed.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements in one (Record/Patient #3) of five full records reviewed.

The agency failed to follow the plan of care when they provided two additional nursing visits without a physician order in one (Record/Patient #2) of five full records reviewed.

The agency failed to ensure the individualized plan of care must be reviewed and revised by the physician or allowed practitioner who is responsible for the home health plan of care and the HHA (home health agency) as frequently as the patient’s condition or needs require, in one (Record/Patient…

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in one (Records/Patients #4) of five records reviewed.

The agency failed to ensure staff were provided with agency in-service training in one (Employee #3) of three employee files reviewed.

The agency failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire for two (Employee #1, and #3) of three employee files reviewed, and failed to ensure all staff had the Family Care Safety Registry (FCSR) checked prior to date of first patient contact, in one…

The agency failed to ensure the Registered Nurse (RN) reviewed 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…

The agency failed to ensure the individualized plan of care included all of the required elements in three (Records/Patients #1, #5, and #6) of six records reviewed.

The agency failed to assure that drugs, services, and treatments were administered only as ordered by a physician in two (Record/Patient #1 and #5) of six records reviewed.

The agency failed to prepare and provide a patient medication schedule/instructions that included medication name, frequency, and dosage in one (Record/Patient #1) of two home visits provided.

The agency failed to provide the client with the name and contact information of the clinical manager in one (Record/Patient #2) of two home visits provided.