Alliance Home Health of Idaho

The agency failed to ensure SOC comprehensive assessment OASIS data accurately reflected patients' drug regimen review for 2 of 10 patients (#3 and #7) whose records were reviewed.

The agency failed to ensure the registered nurse prepared a complete and accurate aide care plan for 1 of 2 patients (Patient #8) who received aide services and whose records were reviewed.

The agency failed to ensure clinical record information was safeguarded against unauthorized use for 10 of 10 patients (#s 1-10) whose records were reviewed.

The agency failed to ensure patients' clinical information was confidential for 10 of 10 patients (#s 1-10) whose records were reviewed.

The agency failed to ensure non-Medicare patients were clearly informed, prior to initiation of care, of potential agency charges for 1 of 1 non-Medicare patient (Patient #4) who was interviewed during a home visit.

The agency failed to ensure patients were advised of the contact information for Federally-funded and state-funded entities that served the areas where they live.

The agency failed to ensure the SOC comprehensive assessment included an evaluation of patient strengths for 10 of 10 patients (#s 1-10) whose records were reviewed.

The agency failed to ensure a comprehensive medication review was performed and potential significant drug interactions were identified for 4 of 10 patients (#1, #3, #7, and #8) whose records were reviewed.

The agency failed to ensure patients' POC included accurate and complete medications, DME and supplies, safety measures to prevent injury, visit frequencies, and advanced directives for 8 of 10 patients (#1, #2, #3, #4, #6, #7, #8, and #10) whose records were reviewed.

The agency failed to ensure a pneumococcal vaccination assessment was performed for 1 of 1 patients (Patient #3) who resided in an ALF and whose record was reviewed.

The agency failed to ensure physicians were alerted to out-of-range vital signs for 2 of 10 patients (#2 and #6) whose records were reviewed.

The agency failed to ensure orders were integrated from all physicians for 1 of 4 patients (Patient #4) whose care was observed and whose records were reviewed.

The agency failed to ensure patient representatives were given the opportunity to be involved in patients' care for 1 of 1 patients (Patient #3) who resided in an ALF and whose record was reviewed.

The agency failed to ensure skilled professionals prepared accurate and complete clinical notes for 3 of 10 patients (#1, #6, and #10) whose records were reviewed.

The agency failed to ensure skilled professionals communicated with physicians and other health practitioners related to patients' POC for 1 of 1 patients (Patient #3) who resided in an ALF and whose record was reviewed.

The agency failed to ensure LPNs were supervised by a registered nurse for 2 of 8 patients (#2 and #6) who received LPN services and whose records were reviewed.

The agency failed to ensure their EHR system allowed oxygen to be included on patients' medication profile for 3 of 3 patients (#4, #6, and #10) on oxygen and whose records were reviewed.