Baptist Health Home Health-Lr

The agency failed to ensure there was a timely comprehensive assessment completed for a change of condition, including a hospital transfer for 1 (#7) of 17 (#1 -#17) clinical records reviewed.

The agency failed to ensure there was evidence of communication with the Hospice agency in order to transition to Hospice services for 1 (#1) and discharge education for a patient and family was provided for 1 (#5) of 5 (#1 - #5) closed records reviewed.

The agency failed to ensure there was a discharge from agency order from the physician for 1 (#1) of 5 (#1 - #5) clinical records reviewed.

The agency failed to ensure there was an accurate medication list for 1 of 1 (#1) clinical record reviewed which involved a patient with medications through a Percutaneous Gastrostomy tube (stomach tube).

The agency failed to ensure there was a complete plan of care for 1 (#13) of 17 (#1 - #17) clinical records reviewed.

The Agency staff did not provide care in accordance with the written Plan of Care (POC) in 1 (#2) of 17 (#1 - #17) Clinical Records reviewed.

The agency failed to ensure the physician was notified of a blood pressure out of parameters for 1 (#14) of 17 (#1 - #17) clinical records reviewed.

The agency failed to ensure there was a discharge summary completed and available to the physician within 5 business days from discharge for 1 (#5) and a transfer summary completed within 2 business days for 1 (#7) of 5 (#1 - #5) closed records reviewed.

The Agency failed to meet the reasonable expectation in care with 2 (#3 and #18) of 18 (#1-#18) clinical records reviewed.

The Agency failed to coordinate and schedule visits and communicate changes for 1 (#18) of 18 (#1-#18) clinical records reviewed.

The Agency failed to follow through on the treatment and frequency of visits discussed at the ROC (Resumption of Care) reassessment visit for 1 (#18) of 18 (#1-#18) clinical records reviewed and did not communicate the changes to the patient and/or caregiver.

The Agency Staff failed to provide patient care or reinforce teaching to 1 (#18) of 18 (#1- #18) clinical records reviewed.

The Agency failed to ensure the Skilled Nurse (SN) coordinated care and treatment with patient/caregiver or physician in 1 (#18) of 18 (#1-#18) Clinical Records reviewed.

The Agency failed to provide the patient a written schedule in 1 (#18) of 18 (#1-#18) Clinical records reviewed.

The Agency failed to meet the reasonable expectation in care with 2 (#3 and #18) of 18 (#1-#18) clinical records reviewed.

The Agency did not follow Attending Physician orders for Speech Therapy (ST) that was ordered in the Plan of Care in 1 (#3) of 18 (#1 - #18) Clinical Records reviewed.

The Skilled Nurse (SN) failed to follow accepted professional standards for infection control in 4 (#7, #8, #10, and #12) of 7 home visits observed (#6-#12).

The Agency failed to coordinate and schedule visits and communicate changes for 1 (#18) of 18 (#1-#18) clinical records reviewed.

The Agency failed to follow through on the treatment and frequency of visits discussed at the ROC (Resumption of Care) reassessment visit for 1 (#18) of 18 (#1-#18) clinical records reviewed and did not communicate the changes to the patient and/or caregiver.

The Agency Staff failed to provide patient care or reinforce teaching to 1 (#18) of 18 (#1- #18) clinical records reviewed.

The Agency failed ensure a Skilled Nurse (SN) conducted a timely and accurate Drug Regimen Review (DRR - review of medication regimen related to potential adverse effects, drug reactions, significant side effects or significant drug interactions) to include all current and added medication the…

Agency Staff failed to conduct a required timely comprehensive reassessment within 48 hours of discharge from the hospital in 1 (#18) of 18 (#1-#18) Clinical Records reviewed.

The Skilled Nurse (SN) failed to ensure the patients Plan of Care (POC) included the required elements of patient specific interventions, education, measurable outcomes, and goals identified by the Home Health Agency skilled assessment of the patient in 1 (#18) of 18 (#1 - #18) Clinical Records…

The Agency failed to alert the Physician of relevant assessment findings which may have necessitated an alteration in the Plan of Care (POC) in 2 (#1, and #18) of 18 (#1 - #18) Clinical Records reviewed.

The Agency failed to ensure the Skilled Nurse (SN) coordinated care and treatment with patient/caregiver or physician in 1 (#18) of 18 (#1-#18) Clinical Records reviewed.

The Agency failed to provide the patient a written schedule in 1 (#18) of 18 (#1-#18) Clinical records reviewed.

The Agency's Clinical Manager failed to assure Skilled Nurse (SN) visit schedule was appropriate to meet the needs of the patient in 1 (#18) of 18 (#1-#18) clinical records reviewed.

The Agency failed to ensure a complete Discharge/Transfer Summary was sent to the Physician after discharge or to the Facility upon patient transfer in 1 (#18) of 18 (#1-#18) Clinical Records reviewed with transfer/discharge status.

The Skilled Nurse (SN) failed to follow the Attending Physician orders contained in the Plan of Care for 3 (#10, #13, and #15) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to ensure the Licensed Practical Nurse (LPN) coordinated care and treatment with the Registered Nurse (RN) in 2 (#8 and #13) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) failed to ensure the patients Plan of Care (POC) included the required elements of patient specific interventions, education, measurable outcomes and goals identified by the Home Health Agency and patient in 4 (#3, #4, #5, and #6) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to provide the patient with complete and accurate written patient medication schedule / instructions in 1 (#11) of 7 (#11 - #17) home visits conducted.

The Agency failed to provide the patient with a written plan of care for the service the patient would receive in 1 (#13) of 7 (#11 - #17) home visits conducted.

The Administrator failed to assure licensed staff maintained a current license to practice in Arkansas in 5 (#11 - #15) of 5 (#11 - #15) (100%) Personnel Records reviewed where licensure was required.

The Agency failed to maintain a Clinical Record which contained accurate documentation in 1 (#14) of 17 (#1 - #17) Clinical Records reviewed.

The Agency staff failed to ensure accurate and timely documentation of care coordination and communication between the healthcare team members in 1 (#6) of 17 (#1 - #17) Clinical Records reviewed.