Amedisys Home Health

The clinical record failed to include all prescribed medications in the plan of care for 2 of 5 patients with record reviews conducted (patients #1 & 5).

The Plan of Care failed to include all/current medications for 2 of 5 patients who received a home visit.

The agency failed to include an infection requiring the use of contact precautions (increased personal protective equipment, PPE) for 1 of 1 patient with a diagnosis of Methicillin-resistant Staphylococcus aureus (antibiotic resistant infection) in the plan of care.

The agency failed to notify the physician of the patient and caregiver’s non-compliance with blood sugar monitoring, wound care, and medications as ordered in the Plan of Care for 1 out of 7 patients with diabetes.

The agency failed to conduct a skilled nursing assessment for 1 of 1 record reviewed with orders for a skilled nursing evaluation (Patient #3).

The agency failed to conduct a timely occupational therapy assessment for 1 of 3 records reviewed with orders for an occupational therapy evaluation (Patient #2).

The agency failed to follow the complaint/grievance process for 1 of 1 record reviewed with a complaint referenced in the clinical record (Patient #1).

Staff interviews the agency failed to discharge a patient when the responsible person requested that the patient be discharged.

The agency failed to accurately document patient-related events in the clinical record as reported for 1 of 3 records reviewed (Patient #1).

The agency failed to follow the physician order for skilled nursing evaluation for 1 of 3 records reviewed (#1).

The agency failed to notify the physician of a patient fall for 1 of 3 patients (Patient #2) with documented falls.

The agency failed to consistently document a complete cardiovascular assessment, including patient weights, for 2 of 14 patients (Patient #12 and Patient #20) with heart failure and failed to consistently document wound measurements for 1 of 4 patients with wounds (Patient #12).

The agency failed to communicate a change in wound measurements for 1 of 4 patients with wounds (#1); a decline in the circulatory/respiratory assessment for 1 of 1 patients that had that had a decline in circulatory/respiratory status (#2); and speech therapy plan of care in 1 of 1 patients with…

The agency failed to include the required components of psychosocial and cognitive status on the Plan of Care out of eleven of eighteen patients (#18, 4, 1, 2, 11, 8, 9, 10, 11, 12, 13 and 15).