Briah Home Care

The agency failed to ensure the patients receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals . This was evident for 5 (five) of 9 (nine) clinical records reviewed (Patient #1, #3, #4, #8 and #9).

The agency failed to ensure that the Home Health Aide is given patient specific instructions on parameters and to notify the Registered Nurse when the parameters are out of range.

The agency failed to ensure appropriate authentication of a primary author who has reviewed and approved the entry.

The agency failed to ensure that patients were properly informed of the changes in the services to be provided and given the opportunity to participate in revising their plan of care.

The agency failed to ensure that patients receive all services as outlined in their individualized plan of care.

The agency failed to ensure the comprehensive assessment accurately reflect the patient's status.

The agency failed to ensure that all medications were accurately reviewed, reconciled and correctly documented in the patient's clinical record.

The agency failed to ensure that all pertinent information is included in the patient's individualized plan of care.

The agency failed to ensure that all medications, services and treatments are provided in accordance with the orders of a physician or allowed practitioner.

The agency failed to ensure the verbal orders in the patient's clinical record have the signature and date the orders were taken.

The agency failed to ensure the relevant physician(s) or allowed practitioner(s) were alerted to changes in the patient's condition or needs that suggest outcomes are not being achieved and that the plan of care should be altered.

The agency failed to document the patient/caregiver's response to the education leading to independence with wound care.

The agency failed to provide periodic discussions among the interdisciplinary team regarding the patient's health status and reason for multiple refusal of services.

The agency failed to provide services that are ordered by the Physician or allowed practitioner as indicated in the plan of care.

The agency failed to ensure that Home Health Aides follow the paraprofessional plan of care for completion of the assigned tasks.

The agency failed to ensure that home health aide supervision includes aides providing care in a safe and effective manner.

The agency failed to ensure that a copy of the patient's discharge summary is sent to the patient’s primary physician with all pertinent information within five (5) business days of the patient’s discharge.