Apex Home Health

The Home Health agency failed to ensure 1 of 10 agency staff were trained in Emergency Preparedness as required.

The Home Health agency failed to ensure medications were reconciled and a list was kept at the patient's home as required for 3 of 3 patients (Patient (P)1, P2 and P3) seen during home visit observations.

The agency failed to ensure skilled nurses followed wound care orders for 1 of 7 patients (Patient #1).

The agency failed to ensure it addressed or completed a physical therapy evaluation within 5 days.

The agency failed to ensure it updated a patient's medication profile for 1 of 7 patients (Patient #3).

The agency failed to ensure a nurse notified a physician of a blood sugar reading > 300 for 1 of 7 patients (Patient #6).

The agency did not conduct a performance improvement project.

The agency failed to ensure hand hygiene was performed during wound care for 1 of 1 patient (Patient #5) observed receiving wound care.

The agency failed to ensure a written plan of care instructions for home health aide services was prepared for 1 of 7 sampled patients (Patient #2).

The agency failed to provide patients with the accurate state toll free home health hotline number and hours of operation.

The agency failed to ensure Advance Directive information was included in the patient plan of care for 7 of 7 sampled patients (Patient #2, #4, #5, #1, #3, #6 and #7).

The agency failed to ensure coordination of care between all disciplines was provided for 1 of 7 sampled patients (Patient #2).

The agency failed to ensure the agency's list of current medications reflected the medications taken by 1 of 3 patients visited during home visits (Patient #3).

The agency failed to ensure home health aide supervisory visits were performed every fourteen days for 1 of 7 sampled patients (Patient #2).