Brookestone Home Health Care

The agency failed to provide EP training at least every 2 years for 2023, 2024, and 2025 and failed to follow their policy and procedure to include EP training to all staff at least annually.

The agency failed to ensure an initial assessment was completed within 48 hours of referral for 2 of 12 patient records sampled (Patients 3 and 4), requiring an initial assessment.

The agency failed to ensure the Patient Home Health Certification and Plan of Care (POC) was individualized for 1 of 17 patient records reviewed (Patient 5).

The agency failed to ensure that physician's orders for wound care were followed for 2 of 5 patient records reviewed (Patient 5 and 10), with wound care orders.

The agency failed to ensure progress towards goals, identified by agency and the patient, were included in the Home Health Certification and Plan of Care (POC) for 5 of 5 patient records reviewed (Patient 5, 9, 10, 11, and 12) requiring updated/revised plans of care.

The agency failed to ensure weekly wound measurements were completed, as described in the agency policy and procedure, for 1 of 5 patient records reviewed (Patient 5) who had wounds.

The agency failed ensure staff follow the agency policy and procedure to notify the patient's physician when the visit frequency for services provided were not followed as ordered on the patient's plan of care for 8 of 10 clinical records reviewed (Patient 1, 2, 3, 5, 7, 8, 9, and 10).

The agency failed to include the medications as reported by the patient on the physician-approved plan of care for 1 of 10 patient records reviewed (Patient 4).

The agency failed to ensure staff follow the agency policy to document communication with the patient for 6 of 10 clinical records reviewed (Patient 1, 2, 3, 5, 7, and 8).

The agency failed to maintain documentation in the clinical record that a completed discharge and/or transfer summary was sent to the physician or health care provider who will be responsible for the patient's continued care, for 6 of 6 patients who had a discharge or transfer from the home health…