Alamogordo Home Health Care & Hospice, Inc

The agency failed to ensure that visits were completed as indicated on the plan of care or that the primary care provider was notified of missed visits for three of 13 patients (Patient (P) 5, P7, and P10).

The agency failed to track and analyze adverse patient events and include the information in its quality assessment performance improvement program (QAPI).

The agency failed to maintain an infection surveillance program that included ongoing tracking and investigation of infections and include its findings as a part of the agencies quality assessment and performance improvement (QAPI) program.

The agency failed to conduct an initial assessment visit within 48 hours of the referral, the patients' return home from an inpatient setting, or on the physicians' ordered start of care date for three of 13 patients (Patient (P) 6, P7, and P13).

The agency failed to provide a written visit schedule to four of four patients (Patient (P) 6, P7, P9, and P10) seen for home visit observations.

The agency failed to provide four of four patients (Patient (P) 6, P7, P9, and P10) seen for home visit observations with a medication list.

The facility failed to document wound assessments of wounds for 2 (P#1 and P#2) of 7 (P#1-P#7) patients sampled.

The entity failed to have a functional method of coordinating care between the disciplines of service for 7 (P#1-P#7) of 7 (P#1-P#7) patient charts sampled.

The facility failed to ensure staff followed acceptable infection control practices during a home visit for 3(P#5,P#6,P#7) of 3(P#5,P#6, P#7) patients reviewed.

The facility failed to provide consent forms which allowed the patient's informed consent for 2(P#1 and P#2) of 7(P#1-P#7) patients sampled.

The agency failed to maintain documentation showing inservice trainings are being completed.