Bigfork Valley Home Care

The agency failed to ensure visits were conducted in accordance with physician orders for 2 of 7 patients (P1, P3, P7), and failed to notify the physician when the visits were not conducted according to the plan of care (POC).

The agency failed to ensure an incident of neglect was reported immediately to the State Agency (SA) for one of seven patients (P4) reviewed for patient rights.

LPN-A confirmed these medications were not listed on the POC.

The POC dated 9/15/20 to 11/13/20 lacked orders for frequency and duration of services provided to P4 during that certification period, however P4 continued to receive weekly SNV, two times per week HHA and homemaking services without provider orders.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days for 3 of 6 patients (P2, P4, P6) reviewed who had a home health aide and skilled nursing services.

The home health agency failed to perform direct supervisory visits of home health aides (HHAs) every 60 days for 1 of 2 non-skilled patients (P9) reviewed.