Allegiance Home Health of Southwest Louisiana, LLC

The agency failed to ensure supervision of skilled professional assistants as evidenced by failure to ensure an LPN immediately communicated findings of a new or changed wound to the patient's skin to the RN for 1 (#4) of 7 sampled patients out of total census of 145 patients.

The agency failed to ensure a registered nurse (RN), who was familiar with the patient and the patient's plan of care, made an onsite visit to the patient's home no less than every 14 days for aide supervisory visits for 1 (Patient #1) of 7 sampled patients out of a total census of 145 patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by: a) the agency failed to obtain the physician's signature on patient #1's and patient #8's POC, b) the agency failed to provide documentation of physical therapy visits for patient #2…

The agency failed to ensure all entries are complete, and appropriately authenticated, dated, and timed as evidenced by: 1. No documentation on the home health aide visit note dated 3/27/18 for Patient #4 of the aide's signature and date the visit was conducted and; 2. No documentation of an…

The agency failed to ensure Patient #7's individualized plan of care (POC) included: 1. The frequency and duration of visits to be made by the skilled nurse for 1(#7) and; 2. No documentation of an order for the SN to obtain weights on the skilled nurse visit out of a total sample of 10 records…

The agency failed to ensure that the skilled nursing staff had documentation that the staff promptly alerted the physician to any changes for Patient #7 as evidenced by no documentation of a coordination note signed by the physician that he was notified of changes with the patient for 1(#7) out of…

The agency failed to integrate services, whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines as evidenced by…

The agency failed to ensure the RN (Registered Nurse) made on-site home health aide supervisory visits every 14 days for 3 (#1, #4 and #7) out of 10 sampled patients.