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 #1 and #3).

The home health provider failed to ensure the plan of care (POC) was updated with a complete physician order in one of five full records reviewed (Record/Patient #1).

The home health provider failed to ensure the nurse documented a full assessment after the patient reported fluid weeping from his/her incision in one of five full records reviewed (Record/Patient #1).

The home health provider failed to check the employee disqualification list (EDL; a list that shows individuals who have been determined to have abused or neglected, misappropriated funds or property, or falsified documentation that delivery of services were provided to a patient, client, resident…

The provider failed to ensure wound measurements were documented at least weekly in, but not limited to, one of four records reviewed (Record/Patient #2).

The home health provider failed to promptly alert the physician to changes in the patient’s condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered, in two of four records reviewed (Records/Patients #1 and #3).

Employee file review and interview the agency failed to ensure one contracted employee (Employee #1) received the agency specific emergency management training during orientation in one of five employee files reviewed.

The agency failed to complete an individualized plan of care that specified the care and services necessary to meet the patient-specific needs as identified in the comprehensive assessment in one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure staff followed acceptable standards of practice for infection control in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure that their qualifying service for Medicare was provided in its entirety by the agency's own employees.

The agency failed to provide proper written notice in advance of the agency reducing or terminating on-going care for one (Record/Patient #3) of five full records reviewed.

The agency failed to update the written notice of patient rights to include the patient has the right to be advised of the state hotline hours (7:00 AM to 8:00 PM).

The agency failed to complete a comprehensive assessment that accurately reflected the patient's status to include the patient's psychosocial, status in one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure a complete/accurate medication review and/or update of the patient's medications was completed in, but not limited to, two (Record #1 and #4) of five full records reviewed.

The agency failed to ensure the plan of care was revised/updated to address the patient's needs for one (Record/Patient #3) of six full records reviewed.

The agency failed to ensure integration of services and coordination of care between all disciplines caring for the patient whether provided directly or under arrangement in one (Record/Patient #3) of five full records reviewed.

The agency failed to provide services as directed by the physician ordered plan of care (POC) in one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure staff documented follow up with the physician in one (Record/Patient #4) of five full records reviewed.

The agency failed to ensure wound measurements were completed/documented at least weekly in, but not limited to, one (Record/Patient #3) of two patients receiving wound care.

The agency failed to ensure an accurate medication review and/or update of patient medications was completed in, but not limited to, two (Records/Patients #1 and #2) of five records reviewed.

The agency failed to assure the physical therapy assistant (PTA) coordinated services regarding changes in the patient's condition/needs in, but not limited to, one (Record/Patient #2) of five applicable cases.

The agency failed to provide the name and contact information for the clinical manager in three (Record/Patient #1, #2 and #3) of three home visits conducted with patients.

The agency failed to ensure wound assessments and/or care was provided as ordered by the physician as indicated by the plan of care in one (Record/Patient #2) of five records reviewed.

The agency failed to ensure that patient and caregiver education was provided in, but not limited to, one (Record/Patient #2) of five records reviewed.