At Home Healthcare

The agency failed to ensure the Registered Nurse (RN) provided home health agency services in accordance with current clinical practice guidelines as set forth by the Louisiana State Board of Nursing (LSBN) Declaratory Statement for Scope of Practice for Registered Nurses - Wound Care Management…

The agency failed to provide services as ordered by the physician in the Plan of Care (POC) for 1 (#3) of 3 sampled patients reviewed for wound care.

The agency failed to ensure nursing staff followed accepted standards of practice to prevent the transmission of infections and communicable diseases for 1(#2) of 2 patients reviewed with home visits.

The agency failed to maintain an accurate medication profile for 2 (#2 and #3) of 2 sampled patients reviewed who received home visits.

The agency failed to ensure all services and treatments were administered only as ordered by a physician or allowed practitioner for 1(#1) of 3 sampled patients reviewed for wound care.

The agency failed to provide services as ordered by the physician in the Plan of Care (POC) for 1 (#2) of 3 sampled patients reviewed for wound care.

The agency failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) within 30 days of completion date of the assessment.

The agency failed to have a plan of care reviewed and revised no less frequently than once every 60 days of the start of care date for 2 (#6 and #7) of 13 (#1- #13) sampled patients reviewed.

The agency failed to notify the physician a patient’s plan of care should be altered for Home Health Aide services for 1 (#4) of 13 (#1-#13) sampled patients reviewed.

The agency failed to provide skilled professional services according to the patient’s Plan of Care (POC) for 1(#4) of 13 (#1-#13) sampled patients reviewed.

The home health agency failed to ensure care and services were provided in accordance with the written plan of care for 1 (#7) of 17 (#1 - #17) sample patients.

The agency failed to ensure communication with physicians involved in the plan of care for 1 (#5) of 17 (#1-#17) patient records reviewed.

The agency failed to report allegations of potential neglect of a resident to the appropriate agency for investigation for 1 of 5 patients (Patient #1) reviewed for care and services.

The agency failed to ensure each patient received the home health services that were written in the individualized Plan of Care for 2 of 10 patients reviewed for care and services per the plan of care (Patient #4 and Patient #5) as evidenced by the agency failing to: I.

The agency failed to ensure the skilled nurse followed accepted standards of practice for infection control for 1 of 4 patients observed during home visits (Patient #4) as evidenced by the agency failing to ensure the skilled nurse changed gloves during wound care when appropriate and failing to…

The agency failed to ensure a review of all medications the patient was currently using in order to identify any potential adverse effects and drug reactions for 1 of 4 patients observed during home visits (Patient #4) as evidenced by the agency failing to ensure an accurate medication…

The agency failed to assure communication with all physicians involved in the plan of care for 1 of 10 patients reviewed (Patient #4) as evidenced by the agency failing to: 1. Ensure coordination and communication with all of Patient #4's physicians to ensure the agency had an accurate medication…