Bellestar Home Health Care, Inc

The agency failed to ensure infection control practices were followed for 1 of 10 sampled patients (Patient 7) when a Skilled Nurse (SN 1) did not consistently perform hand hygiene during direct patient care and did not sanitize equipment after use.

The agency failed to ensure 1 of 10 sampled patients (Patient 3) comprehensive assessment was completed in a timely manner, consistent with the patient’s immediate needs, but no later than 5 calendar days after the start of care (SOC).

The agency failed to promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for 1 of 10 sampled patients (Patient 3).

The agency failed to ensure the physician's ordered skilled professional services for Physical Therapy (PT) and Medical Social Worker (MSW) were provided per the agency policy and the Plan of Care for one of 3 sampled patients (Patient 1) when he had not been seen or contacted by the PT or MSW…

The agency failed to ensure clinical notes were completed in a timely manner for 1 of 3 sampled patients (Patient 1) when there were no clinical notes in his medical records.