Ann's Choice Visiting Nurse Services

The agency failed to follow its policy pertaining to infection control for one (1) of three (3) home visits observations.

The agency failed to ensure that physician orders were signed by the professional receiving the order, in accordance with agency policy, for five (5) of seven (7) CR reviewed (CR #1, 3, 4, 5, and 6), and by the attending physician for one (1) of seven (7) CR reviewed.

The agency failed to document emergency preparedness training at least every two years for one (1) of eight (8) PF's: PF#7. Findings include: An interview was conducted with the Home Health Administrator on April 13, 2022 at approximately 1:00 pm to review the educational record of PF#7 and…

The agency failed to notify the physician of missed visits for four (4) of seven (7) CR: CR#1, CR#3, CR#4, and CR#6. Findings include: On April 11, 2022 at approximately 3:00 PM, the following policy "Missed Visits" was reviewed which states the following: "Policy: Missed visits will be…

The agency failed to assure a review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with…

The agency failed to demonstrate the presence of initial or annual competency evaluations/skills assessments for three (3) of eight (8) personnel files: PF#3, PF#6. and PF#7. Findings include: A review of the policy/procedure titled, "Competency Assessment" took place on April 13, 2022 at 11:00 AM.

The agency failed to document, in writing, a qualified, pre-designated person who is authorized by the administrator and governing body to assume the same responsibilities and obligations as the home health administrator, in the absence of the administrator.

The agency failed to ensure an FBI Criminal Background check was obtained for one (1) of one (1) employees, required to have one (Employee # 1).

The Agency did not follow its' policy regarding transmission of OASIS information within 30 days of the assessment for two (2) of five (5) clinical records reviewed (Clinical Records #1 and # 5).

The agency failed to follow state regulations and its policy ensuring that the Plan of Care was signed by the primary Physician within seven days for two (2) of four (4) clinical records reviewed.

The Agency did not follow its policy regarding the placement of clinical notes in the Clinical Record for one (1) of four (4) clinical Records reviewed.