Amedisys Home Health of Missouri

The home health provider failed to ensure staff maintained an accurate/updated medication profile in two of three home visit observations (Records/Patients #2 and #3).

The agency failed to ensure that encoded Outcome and Assessment Information Set (OASIS) data accurately reflected the patient's status at the time of assessment in two (Record/Patient #7, and #8) of six records reviewed for OASIS accuracy.

The agency failed to ensure accepted standards of practice were used during wound care in one (Record/Patient #1) out of three home visits observed.

The agency failed to ensure that the agency selected qualifying service of skilled nursing was provided directly by the agency.

The agency failed to ensure the staff provided a written visit schedule to the patients that included what discipline was visiting and the frequency of visits in one (Patient/Record #1) of three home visits.

The agency failed to ensure staff provided in writing the name and contact information of the clinical manager in three (Record/Patient #1, #2, and #3) of three home visit observations.

The agency failed to provide services as ordered by the physician on the plan of care (POC) in, but not limited to, two (Record/Patient #1 and #3) of five records reviewed.

Staff developed an individualized plan of care that addressed patient specific needs as identified during the comprehensive assessment (G572) - Ensure the plan of care included patient specific interventions and patient/caregiver education (G574); - Ensure drugs and treatments were administered…

The skilled nurse (SN) provided ongoing assessments (G706); - Ensure the registered nurse (RN) developed a complete plan of care (G708); and - Ensure patients received initial and ongoing education regarding medications and ensure the registered nurse (RN) developed a plan of care that included all…

The registered nurse (RN) observed the home health aide perform all tasks required on the Missouri Home Health Aide Competency Evaluation (Part 2) Basic Skills Test (G768); - Ensure the RN or other appropriate skilled professional developed a complete aide care plan/assignment (G798); - Ensure the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the notice that if the state court has not adjudged a patient to lack legal capacity to make health care decisions as defined by state…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…

The agency failed to develop a plan of care that addressed patient needs as identified during the comprehensive assessment in, but not limited to, one (Record/Patient #4) of five records reviewed.

The agency failed to ensure the registered nurse (RN) observed the home health aide perform all tasks required in one home health aide (Employee #4) of one applicable case; and the RN failed to ensure the aide was evaluated for use of a Hoyer lift prior to being assigned by the RN for one…

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professional developed a complete aide care plan/assignment in one (Record/Patient #4) of two applicable records.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the written notice to the patient about their right to have a copy of the patient's rights and responsibilities provided to a…

The agency failed to ensure a registered nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral in, but not limited to, one (Patient #3) of five records reviewed.

The agency failed to ensure the registered nurse included all required information on the plan of care for two (Record/Patient #1 and #4) of five records reviewed.

The agency failed to ensure drugs and treatments were administered only as ordered by a physician in, but not limited to, two (Record/Patient #2 and #3) of five patients reviewed.

The agency failed to document they notified the physician of a change in patient condition for one (Record/Patient #4) of five records reviewed.

The agency failed to ensure the patient participated in, was informed about, and consented or refused in advance of and during treatment regarding the schedule/frequency of visits by disciplines providing care in, but not limited to, three (Record/Patient #1, #2 and #3) of three home visit records…

The agency failed to provide the patient with a copy of written instructions outlining the patient's medication schedule/instructions, to include the names, dosages, frequency and which medications would be administered by agency personnel in, but not limited to, three (Records/Patients #1, #2 and…

The agency failed to provide the name and contact information for the agency's clinical manager in, but not limited to, three home visit records (Record/Patient #1, #2, and #3) patients admitted to service after January 13, 2018 when this regulation became effective.

The agency failed to ensure the skilled nurse (SN) provided ongoing assessments in, but not limited to, one (Record/Patient #4) of five records reviewed.

The agency failed to ensure the registered nurse (RN) developed a complete plan of care in, but not limited to, one (Record/Patient #4) of five records reviewed.

The agency failed to ensure one patient (Record/Patient #1) received initial and ongoing education regarding medications and failed to ensure the registered nurse (RN) developed a plan of care that included all information identified during the comprehensive assessment to include patient and…

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professional completed home health aide supervisory visits within the required time frame for one (Record/Patient #4) of two applicable records.

The agency failed to ensure that the agency staff evaluated the aide for all of the required elements during the aide supervisory visits in two (Record/Patient # 2 and #4) of two applicable records.

The agency failed to ensure that the governing body authorized in writing a qualified, predesignated, person that would assume the same responsibilities and obligations as the administrator when the administrator was not available.

The agency failed to: - Ensure staff had completed the criminal disclosure statement in four employees (E#1, E#2, E#3, and E#4), of four employee files reviewed; and - Ensure the employee disqualification list was checked prior to hire in four employees (E#1, E#2, E#3, and E#4), of four employee…

The agency failed to ensure the clinical record contained accurate assessments and/or documentation of the patient in, but not limited to, one (Record/Patient #2) of five patients reviewed.

The agency failed to ensure the discharge summary was sent to the physician within five business days of discharge in one (Records/Patient #5) of one applicable case reviewed where a discharge occurred after 1/13/18 when the new federal regulations became effective.