Amedisys Home Health Care

Staff interviews the agency failed to follow physician's orders on the Plan of care for 4 of 7 patients with diabetes [#1, 7, 16 and 20]; and failed to follow physician's orders on the Plan of Care related to wound care for 1 of 6 patients with a wound [#7]; and failed to follow physician's orders…

Staff interviews the registered nurse failed to conduct an evaluation visit for 7 days after the completion of the resumption of care visit for 1 of 1 patients [#1]; and failed to identify a wound for 1 of 6 patients with a wound [#7]. The findings included: The policy, The provision of Wound and…

The Plan of Care [POC] failed to include all medications the patient was taking for 2 of 4 home visits [# 3 and 14]. The findings included: The policy, Plan of Care [POC] [10/31/23], was provided by the agency director on 2/21/24 at 3 pm.

Staff interviews the agency failed to include orders related to a VAD [vascular access device- thin flexible tube that provides access to blood vessels without the need for repeated needle sticks] on the Plan of Care for 1 of 2 patients with a VAD [# 7]. The findings included: The policy, Plan of…

Staff interviews the agency failed to coordinate care with the physician for 1 of 2 patients with VAD [vascular access device] [#7]; and failed to coordinate care for 1 of 1 patients receiving MSW [social work] services which required an APS [adult protective services] report [#9]. The findings…

The agency failed to monitor weights for of 1 patient [#3] who was discharged for cause.

The agency failed to ensure infection control practices were followed when the RN sat on the patient’s bed during the visit for 1 of 1 patient requesting to be discharged from agency [#1]. The findings included: Patient # 1 had a Start of Care [SOC] date of 10/16/22 and admitting diagnoses of…

Staff interviews the agency failed to advise 1 of 1 patient [#3] who was discharged for cause [patient’s or other person in the patient’s home behavior is disruptive, abusive or uncooperative to the extent that delivery of care to the patient or the ability of the HHA [home health agency] to…

Staff interviews the agency failed to resolve the issues prior to discharging 1 of 1 patient for discharge for cause [patient’s or other person in the patient’s home behavior is disruptive, abusive or uncooperative to the extent that delivery of care to the patient or the ability of the HHA [home…

Staff interviews the agency failed to provide contact information for other agencies which might provide care for 1 of 1 patient discharged for cause [#1] [patient’s or other person in the patient’s home behavior is disruptive, abusive or uncooperative to the extent that delivery of care to the…

The agency failed to document the existence of a complaint for 1 of 1 patient who requested discharge [#1]. The findings included: The policy, Patient/Caregiver Grievance/Complaint [6/24/21], was provided by the agency director on 11/14/22 at approximately 11 am.

The agency failed to conduct a Resumption of Care [ROC-visit conducted after inpatient stay] within 48 hours after the patient was discharged home for 1 of 1 patient [#3]. The findings included: Patient # 3 had a Start of Care date of 8/13/22 and admitting diagnoses of Encounter for change or…

Staff interviews the agency failed to provide a target weight on the Plan of Care [POC] for 2 of 3 records [#3 and 2]. The findings included: 2- Patient #2 had a Start of Care 7/13/22 which included diagnoses of Chronic obstructive pulmonary disease [a group of lung diseases] with lower lobe…

Staff interviews the RN failed to provide wound care in accordance with the Plan of Care for 1 of 1 patient with a wound [#3]. The findings included: The policy, Plan of Care [12/4/20], was provided by the agency director on 11/14/22 at 3:20 pm.

Staff interviews the agency failed to notify the physician of 1 of 1 patient requesting discharge [#1]; failed to notify the physician when wound care was not being completed as ordered for 1 of 1 patient [#3] patient with a wound; failed to notify the physician of RN assessment findings for 1 of 1…

Staff interviews the agency failed to complete an agency discharge summary for 1 of 1 patient who requested agency discharge [#1]; and failed to complete discharge summary for 1 of 1 patient discharged for cause [patient’s or other person in the patient’s home behavior is disruptive, abusive, or…

The agency failed to follow the Plan of Care related to obtaining O2 saturation levels for 1 of 1 patient complaining of shortness of breath [# 14]; failed to follow the POC related to blood sugar readings for 1 of 6 diabetics [#18]. The findings included: 1. Patient # 14 had a Start of Care [SOC]…

Staff interview the agency failed to include all medications on the plan of care for 2 of 3 patients on oxygen (#9 and #12); failed to include Heparin and Normal Saline flushes for 1 of 2 patients with a PICC [peripherally inserted central catheter] line [#10]; failed to include J [jejunostomy]…

Staff interviews the agency failed to coordinate care with the physician regarding pain for 4 of 24 records reviewed (#9,11, 13, 20); failed to coordinate care with the physician regarding an acute onset of chest pain for 1 of 1 pain with the diagnosis of Non-ST Elevation Myocardial Infarction…

Staff interview the clinical record failed to include picc (peripherally inserted central catheter line measurements for 2 of 2 patients with a picc line (#17 and #10);copied and pasted from previous visit note for 1 of 2 patients with a picc line [#10]; failed to document wound measurements for 1…

The agency failed to follow the physician's order/plan of care for supplemental oxygen settings for 1 of 1 patient with a tracheotomy [a surgical incision on the anterior aspect of the neck] [#5]. The findings included: Patient # 5 had a Start of Care [SOC] date of 3/17/18 and diagnoses of Pressure…

Staff interviews the Registered Nurse failed to coordinate care for 1 of 1 patients who had a trach [a surgical incision on the anterior aspect of the neck]. The findings included: The policy Coordination of Care was provided by the Director of the agency on 4/17/18 at approximately 9:00 am.

The agency failed to document wound measurements in the clinical record for 1 of 3 patients with wounds [#2]. The findings included: Patient # 2 had a Start of Care [SOC] date of 3/10/18 and diagnoses of Pressure Ulcer of Left Buttock Stage 2 [the wound bed is viable, pink or red, moist and may…

The agency failed to notify a patient of discharge from the agency for 1 of 1 non active charts reviewed [#1]. The findings included: The policy, Discharge of Patients, provided on 4/16/18 at approximately 1:00 pm by the Director of the Agency stated, " ...the patient's behavior is disruptive…

Agency policy review and staff interviews the agency failed to follow a written plan of care for 1 of 3 charts without a home visit patients with a wound [#8]. Agency policy, titled Plan of Care/Care Planning Process was provided by the Director of Operations on 1/9/18 at approximately 9:00 a.m.

Review of the aide care plan did not include management of the leg brace.

The comprehensive assessment did not include all of the medications the patient was currently using for 2 of 5 patients who received home visits [#1 and 2]. The findings included: The policy Drug Regimen Review dated 2/16 was provided by the Director of Operations on 1/9/18 at approximately 9:00…