Cardinal Home Health Care

The agency failed to ensure medication reconciliation and administration were conducted for one of seven sampled patients (Patient 1) when a Licensed Vocational Nurse (LVN 1) administered an expired insulin (a synthetic hormone that turns food into energy and manages the blood sugar level).

The agency failed to review and update its Emergency Preparedness Program (EPP) every two years, for the 2021 and 2022 years reviewed, in a universe of 92 patients.

The agency failed to ensure the patients' plan of care was followed for one of seven sampled patients (Patient 7) when a Certified Home Health Aide did not make visits as ordered in Patient 7’s plan of care.

The agency failed to ensure the patients' initial assessment was completed within 48 hours of the patients’ referral order for one of seven sampled patients (Patient 7).

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for one of seven sampled patients (Patient 5).