Bella Terra Home Health

The agency failed to adhere to the agency's job description and policy regarding social worker requirements for hiring.

The home health agency failed to ensure the clinical record contained an accurate comprehensive medication profile, for one of 13 sampled patients (Patient 13) when the mediation profile did not accurately reflect the medications Patient 13 were taking in the home.

The agency failed to ensure physician’s verbal orders were signed and dated timely, within 30 days of the order date, for one of thirteen patients reviewed (Patient 2).

The agency failed to ensure expired medical supplies were not readily available for use.

The agency staff failed to follow the written plan of care established by the physician that included a Stage II left buttocks wound (a break in the top two layers of skin) assessments for one of seven sample selected patients (Patient 1).

The agency failed to provide a copy of written instructions outlining the visit schedule and medication schedule/instructions to two of seven sample selected patients (Patient 4 and Patient 5).

The agency's staff failed to review all medications and update the medication profile with currently used medications for two of seven sample selected patients (Patients 1 and 5).

The agency staff failed to inform the physician promptly of any changes in patient's condition for one of seven sample selected patient (Patient 1).

The agency staff failed to follow the written plan of care (POC) for two of seven sample patients (Patients 4 and 5).

The agency failed to provide new/updated written notice of patient's rights to the patient/caregiver for 1 of 7 sample patients (Patient 5).

The home health agency (HHA) staff failed to review all the medications and update the medication profile with currently used medications for one of 7 sampled patients (Patient 5).

The home health agency's failed to ensure the comprehensive assessment was revised (including the administration of the OASIS (Outcome Assessment and Information Set, an assessment tool) at discharge for one of seven sample patients (Patient 4).

The home health agency (HHA) failed to ensure the skilled nurse (SN) and certified home health aid (CHHA) visited the patient as the physician ordered for 2 of 7 sample patients (Patients 5 and 6).

The home health agency's (HHA) Skilled Nursing staff failed to provide patient and caregiver education, as ordered by the physician for 1 of 7 sampled patients (Patients 4).

The home health agency's (HHA) administrator failed to ensure the development of personnel policies regarding the qualifications of personnel health requirement for two direct employees and one contracted employee.