Brookestone Home Health & Hospice

The agency failed to: 1) ensure the patient's medication profile and/or plan of care contained current and accurate medications; 2) notify the patient's physician when medication discrepancies were identified; and 3) document in the clinical record all corrective actions taken, and their outcomes…

The agency failed to follow their policy and procedure to ensure verbal orders were put into writing when received, for authentication by the ordering physician for 2 of 10 (Patient 1 and 6) patient records reviewed.

The agency failed to include on the updated/revised plan of care, information concerning the patient's progress toward the measurable outcomes and goals identified by the Home Health Agency (HHA) and patient in the plan of care for 8 of 10 patients (Patient 1, 2, 3, 6, 7, 8, 9, and 10) who had a…

The agency failed to complete and send a transfer summary to the receiving provider, once the agency was notified of a transfer for 1 of 3 (Patient 7) patients who had an unplanned transfer to another provider/facility.

The agency failed to ensure the patient and/or patient representative was notified of the extent to which payment for Home Health Agency services will be covered and/or the amount the patient may have to pay prior to care being initiated for 6 of 10 patients (Patient 5, 6, 7, 8, 9, and 10).

The agency failed to complete a comprehensive assessment of the patient's physical therapy (PT), occupational therapy (OT), and/or speech therapy (ST) needs no later than 5 days of the start of care for 2 of 8 patients (Patient 4 and Patient 9) who had orders for PT, OT and/or ST services.

The agency failed to include information about the patients progress towards agency and patient identified outcomes and goals on the revised/updated plan of care for 4 of 4 patients (Patient 1, 2, 5, and 6) who had a revised/updated plan of care.