Alpine Home Health Agency, Inc

The agency failed to ensure the registered nurse (RN) observed the home health aide perform all tasks required in one (Employee #1) of one home health aide employee file reviewed.

The agency failed to ensure the registered nurse (RN) developed a complete aide care plan/assignment in two (Records/Patients #2 and #3) of two records that received aide services.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's status in, but not limited to, two (Records/Patients #1 and #2) of ten records reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in, but not limited to, five (Records/Patients #1, #2, #3, #4 and #7) of ten records reviewed.

The agency failed to develop a complete/accurate plan of care (POC) in, but not limited to, three (Records/Patients #1, #2, and #4) of ten records reviewed.

The agency failed to ensure coordination of patient care delivery in, but not limited to, two (Records/Patients #1 and #4) of ten records reviewed.

The agency failed to provide in writing the name and contact number of the clinical manager in one (Record/Patient #2) of four home visits conducted.

The agency failed to provide services as ordered by the physician on the plan of care in, but not limited to, four (Records/Patients #1, #2, #3 and #4) of ten records reviewed.

The agency failed to ensure patient/caregiver education was provided in, but not limited to, three (Records/Patients #1, #4 and #7) of ten records reviewed.

The agency failed to ensure staff followed infection control standards in two (Records/Patients #1 and #2) of four home visit observations, and based on review of Section 192.2490.12 RSMo, personnel file review, and interview, the agency failed to request and obtain results of findings of the…

The agency failed to ensure a discharge summary was sent to the physician within five business days of discharge in one (Record/Patient #9) of three discharged records reviewed.