Albemarle Home Care and Hospice

The agency failed to include contact precautions in the plan of care for 1 of 1 patient requiring contact precautions (patient # 4) and failed to perform hand hygiene between glove changes for 1 of 2 registered nurse home visits (patient #10).

The agency failed to obtain and document weekly wound measurements for 1 of 6 patients with wounds.

The Plan of Care failed to include all the current/correct medications for 3 of 6 patients who received home visits (#14,16,17).

The nurse failed to include medication discrepancies in the visit documentation for 3 of 6 patients with home visits conducted (#14,16,17).

The nurse failed to maintain infection prevention standards during 1 of 4 virtual wound care observations (#12).

The Plan of Care did not include weight bearing status for 1 of 1 patient with an arm fracture (#15); complete orders for a urinary catheter for 1 of 1 patient with an indwelling urinary catheter (#2); include all medications on the plan of care for 4 of 7 patients that received virtual home visits…

The medical social worker failed to obtain an order for services for 1 of 1 patient that received a medical social work visit (#2).

The nurse failed to notify the physician of changes related to potential infection (#2, 13, 15); to notify the physician of a need for home health aide services for approximately one month in 1 of 2 patient identified as needing home health aide service (#2).

The agency failed to check a fingerstick PT/INR for 1 of 1 patient with PT/INR orders (lab that checks blood clotting time) orders (#14); to measure the mid-arm circumference and the length of a PICC line as ordered for 1 of 1 patient with a PICC line (#17).