American Homecare Health Services

1. The HHA failed to ensure the comprehensive assessment accurately reflected the patient’s wounds for one of 13 sampled patients (Patient 8).

1. Based on interview and record review, the agency failed to meet the Condition of Participation for Care Planning, Coordination Of Services, and Quality Of Care by failing to ensure care and services are provided as ordered by the physician for 1 of 13 patients (Patients 8) were followed.

The home health agency staff failed to ensure an accurate initial assessment was conducted to reflect the patient's open wounds for one of 13 patients (Patient 8).

The home health agency (HHA) failed to maintain a current medication profiles for three of seven patients.

The home health agency (HHA) staff failed to follow the physician's orders indicated in the plan of care (POC) for 1 of 13 patients, (Patient 8).

The Home Health Agency (HHA) failed to ensure the nursing staff teach/instruct the caregiver to follow BP (blood pressure) reading parameters when administering prescribed BP medications and how to administer the Lantus and Aspart insulin pen subcutaneously for one of 13 patients (Patient 1).

The agency failed to follow the agency policy and procedure and professional standards of practice for infection control when: 1. Infectious waste was not appropriately disposed by one Licensed Vocational Nurse (LVN) 2 after performing patient care; 2. The injection site was not disinfected by LVN…

The agency failed to develop and implement an infection control surveillance program.

The agency failed to check and reconcile all medications taken by one of 10 sampled patients (Patient 2) visited in the home.

The agency failed to follow physician's order and administer medications accurately for one of 10 sampled patients (Patient 2).

The agency failed to ensure interventions in the plan of care (POC) were implemented for one of 10 sampled patients (Patient 2).