Alternative Home Health Care

The agency failed to review all of the patient's current medications to maintain an accurate/updated medication profile in, but not limited to, two (Records/Patients #1 and #2) of three home visit observations.

The agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, three (Records/Patients #1, #2 and #3) of five full record reviews.

The agency failed to ensure drugs, treatments and services were administered only as ordered by the physician in, two (Records/Patients #2 and #4) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in, but not limited to, two, (Records/Patients #1 and #2) of five records reviewed.

The agency failed to provide a discharge summary to the primary care physician after discharge within five business days of the patients discharge in one (Record/Patient #6) of two discharge records reviewed.

The agency failed to ensure that the encoded OASIS (Outcome and Assessment Information Set) data accurately reflected the patient's status at the time of the assessment in, but not limited to, one (Record/Patient #5) of five records reviewed.

The agency failed to ensure/maintain an accurate and complete review of all medications the patient was currently using in, but not limited to, two (Records/Patients #1, and #2) of five records reviewed.

The agency failed to ensure the plan of care (POC) was accurate and included all of the required elements in, but not limited to, two (Records/Patients #2, and #4) of five records reviewed.

The agency failed to ensure each patient received written information related to the visit schedule, in one (Record/Patient #2) of three home visit observations.

The agency failed to ensure each patient received updated/current written instructions related to the patient's medication schedule in, but not limited to, one (Record/Patient #2) of three home visit observations.

The agency failed to ensure each patient received written information related to the name and contact information of the home health agency's clinical manager in, but not limited to, one (Record/Patient #2) of three home visit observations.

The agency failed to ensure patient's received services as ordered by the physician's plan of care in, but not limited to, two (Records/Patients #4 and #5) of five records reviewed.

The agency failed to ensure that agency staff obtained a copy of the patient's advance directive in, but not limited to, one (Record/Patient # 2) of five records reviewed.