Amedisys Home Health

The agency failed to ensure all skilled professionals who provided patient care directly or indirectly ensured interdisciplinary assessment of the patient (See G706); failed to ensure all services were provided as ordered (See G710); failed to ensure all communication was documented in the clinical…

The agency failed to ensure agency accurately set forth in writing, its organizational structure, lines of authority, and services furnished (See G940); failed to ensure failed to have governing body meetings minutes specific for the home health agency and not for other entities (See G942); failed…

The agency failed to ensure a table top exercise or community based exercise was performed for field staff for the year of 2020 for 1 of 1 emergency preparedness review.

The agency failed to follow physician orders for 1 of 2 wound care observations.

The agency failed to ensure coordination of care occurred between the patient, caregiver, and physician for 1 of 2 patients from the complaint log reviewed.

The agency failed to ensure staff were following acceptable standards of practice by actively taking their temperatures and documenting absence of illness or signs/symptoms of Covid-19 for 3 of 3 survey days; and failed to follow agency policy on hand hygiene for 1 of 2 wound care observations.

The agency failed to notify the State agency of a change in management for 1 of 1 home health agency.

The agency failed to ensure Governing Body meetings were specific to the agency and not that of other entities for 1 of 1 home health agency that affects all patients.

The agency failed to ensure the lines of authority and professional and administrative control were clearly delineated in the agency's organizational structure for 1 of 1 home health agency.

The agency failed to ensure all entries in the clinical record are accurate, clear, and complete for 1 of 2 wound care observations.

The agency failed to indicate an OASIS (Outcome and Assessment Information Set) privacy notice was provided to patients upon initial visit for 18 of 18 records reviewed (Patients 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18) which had the potential to affect all patients served by…

The agency failed to provide written notice of services to be provided for 2 of 6 home visits.

The agency failed to ensure all medications and treatments were on the plan of care for 2 of 6 home visit observations.

The agency failed to update the physician to any changes in the patient's condition for 1 of 2 patients from the complaint log reviewed.

The agency staff failed to coordinate an interdisciplinary assessment of the patient for 1 of 2 patients from the complaint log reviewed.

The skilled professional failed to provide all services ordered by the physician for 1 of 2 complaint records reviewed.

The agency failed to ensure clinicians prepared accurate clinical notes for 1 of 2 wound care observations (Patient 4); and failed to document and follow agency policy on reporting critical lab values for 1 of 1 record reviewed with critical lab values.

The skilled nursing staff failed to maintain communication with the physician related to the patients' care for 1 of 2 patients from the complaint log reviewed.

The agency failed to ensure the administrator reported directly to the Governing Body without the use of intermediaries for 1 of 1 home health agency.

The administrator failed to provide overall direction and leadership of agency services, failed to ensure the agency met all rules and regulations for recertification, and failed ensure the responsibility for all day-to-day operations of the parent agency and branch locations for 1 of 1 home health…

The agency failed to ensure a qualified Alternate Administrator was authorized in writing by the Administrator and Governing Body; and failed to notify the State agency of the change in management for 1 of 1 home health agency.

The clinical manager failed to ensure that patient needs were continually assessed for 1 of 2 patients reviewed from the complaint log.

The parent agency failed to ensure direct support and administrative control of its branches for 1 of 1 home health agency.

The agency failed provide services in accordance with accepted professional standards of practice regarding wound measurements for 1 of 1 wound measurement observations.

The agency failed to document education interventions as ordered on the Plan of Care for 3 of 4 record reviews (Patient 3, 5,10,13) Findings include: 1. A revised 9/17/21 policy titled Physician Orders and Medical Supervision of the Plan of Care was provided by the Clinical Manager (CM) on…

The agency failed to ensure it had solicited volunteers for service during a disaster or emergency, to include their roles for integration with health care professionals during the disaster/emergency for 1 of 1 home health agency disaster preparedness plan.

The agency failed to follow standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases in 2 of 5 home visits.

The agency failed to participate in the preparation of the agency annual plan and the governing board minutes failed to evidence plan & budgetary oversight for said agency for 1 of 1 agency with 1 of 1 branch location.

The Agency failed to provide evidence of the Administrator reporting to the Governing Body for 1 of 1 agency.

The Agency failed to establish and communicate clear, distinct lines of authority in the absence of the Administrator for 1 of 1 agency.

The Agency failed to provide administrative control of its branch location for 1 of 1 agency and 1 of 1 branch.

The agency failed to ensure the skilled nurse provided wound care services that were indicated in the plan of care for 1(#4) of 17 records reviewed.

The agency failed to investigate complaints made by the patient for 1 (#1) of 17 records reviewed.

The agency failed to perform a review of all medications the patient was using for 2 ( # 2 and #3 ) of 17 records reviewed.

The agency failed to ensure the plan of care included all equipment required for the patient's care for 4 (#s 3, 6, 7, 8 ) of 17 records reviewed.

The agency failed to alert the physician to changes in the patient's condition or needs that indicated the plan of care should be altered for 2 (#1 and #11) of 17 records reviewed.

The agency failed to document concerns about care needs and failed to notify the physician regarding the patient's discharge for 1 (#1) of 17 records reviewed.

The agency failed to provide the patient with accurate medication instructions including medication dosage and frequency for 1 (#3) of 17 records reviewed.

The agency failed to follow their policy to ensure the ongoing nursing assessments accurately reflected the status of the patient's wounds for 1 (#16) of 6 records reviewed for patients with wounds.

The skilled nurse failed to provide wound care services that were indicated in the plan of care for 1(#4) of 17 records reviewed.

The agency failed to document concerns about care needs and failed to notify the physician regarding the patient's discharge for 1 (#1) of 17 records reviewed.