Allied Home Health Services, Inc.

The agency failed to ensure a transfer/discharge summary contained necessary medical information at the time of patient transfer/discharge for four (Patients #14, 15, 18 and #19) of 20 patients.

The agency failed to ensure: 1. The patient was educated on potential health outcomes related to refusal of SN visits and; 2. Notify the physician of the patient's imminent discharge from agency services for continued refusal of SN visits for one (Patient #15) of 20 patients.

The agency failed to ensure individualized patient POC included: 1. Weight reporting parameters for physician notification and weight related goals for one (Patient #6) of 20 and; 2. Pain reporting parameters for physician notification for two (Patients #9 and 15) of 20 patients.

The agency failed to ensure: 1. SN visits were conducted for three (Patients #1, 3 and 7) of 20 patients; 2. ST evaluation was conducted as ordered for one (Patient #3) of 20 patients; 3. SN conducted assessments of patients weight every visit for one (Patient #14) of 20 patients; 4. OT evaluation…

The agency failed to ensure SN visit notes were started, completed and authenticated for six (Patients #2, 4, 5, 7, 11 and 13) of 20 patients.

The agency failed to ensure a completed discharge summary was provided for five (Patients #14, 15, 16, 18 and #19) of 20 patients.

The agency failed to ensure wound care orders were followed as ordered on the plan of care for one (Patient #6) of thirteen patients.

The agency failed to ensure medication embedded wound care supplies were included in the review of medications for potential/adverse effects, drug reactions, side effects, interactions and duplicate drug therapy for one (Patient #6) of 13 patients.

The agency failed to: 1) Document the investigation of complaints 2) Follow their own policy regarding documenting the investigation of complaints for four (Complaints #1, 2, 3 and 5) of five complaints. . Findings: An agency policy titled, "PI-Performance Improvement: Reporting of patient…