Amedisys Home Health Lakeshore of Birmingham

The agency failed to ensure physicans orders were followed for the following: 1. Monitoring blood glucose on diabetic patients.

The agency failed to ensure the staff followed their own policies and procedures for hand hygiene and bag technique.

The agency failed to provide a written Notice of Medicare Non-Coverage (NOMNC) form on 2 of 5 discharge medical records reviewed and did affect MR # 6 and MR # 10 and had the potential to affect all patients served by the agency.

The agency failed to ensure accuracy of the medication profile in 4 of 7 Home Visits (HV) including HV # 5, HV # 3, HV # 2, HV # 7, and had the potential to negatively affect all patients served by the agency.

The agency failed to ensure patient/caregivier (pt/cg) instruction including return demonstration was performed with a patient requiring wound care.

The agency failed to follow their policy for Coordination of Care and the ABON Administrative Code for Documentation Standards to ensure consistent documentation . This deficient practice affected 2 of 7 Home Visits (HV) and did affect HV # 1, HV # 5 and had the potential to negatively affect all…

The agency failed to ensure the Home Health Aide (HHA) Plan of Care (POC) was followed.

The agency failed to complete a discharge summary for 2 of 5 discharge records reviewed and did affect MR # 6 and MR # 10 and had the potential to affect all patients served by the agency.

It was determined the Governing Body failed to ensure there was a Quality Assessment and Performance Improvement (QAPI) program.

It was determined the Governing Body failed to ensure there was an ongoing Infection Prevention and Control program.

The agency failed to ensure the staff followed the physician's order for care related to: a) Negative Pressure Wound Therapy (NPWT) setting b) documentation of blood sugar results c) ordered skilled nurse (SN) visit frequency not followed. d) physician notification for blood glucose and pain…

The agency failed to ensure there was a Quality Assessment and Performance Improvement (QAPI) program.

The agency staff failed to follow their policy for hand hygiene in 1 of 6 home visits (HV) completed.

It was determined the governing body failed to ensure there was an ongoing Infection Prevention and Control program.

The agency failed to coordinate care and provide services as ordered.

The agency failed to ensure medications were reconciled in 5 of 7 home visits (HV) reviewed.

The agency failed to update and revise the comprehensive assessment for 1 of 2 records reviewed of patients discharged to the community.

The agency failed to ensure the physician, the registered nurse or the licensed therapist was notified of: 1. Patients' pain rate greater than the established plan of care including effectiveness of pain interventions.

The agency failed to ensure the staff completed and documented patient and caregiver education regarding: a) oxygen therapy, usage and safety b) diabetic teaching c) skin assessment and integrity.