Care IV Home Health

The Agency staff failed to follow the Attending Physician orders contained in the Plan of Care (POC) for 2 (#4 and #8) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) failed to conduct a review of medications the patient was currently using as part of the Comprehensive Assessment in 3 (#5, #9 and #12) of 3 (#5, #9 and #12) Clinical Records reviewed with Physician orders for Therapy services only and no SN services.

The Registered Nurse (RN) failed to provide timely oversight of Home Health Aide (HHA) through on-site Supervisory Aide Visits (SAV) every 14 days in 2 (#3 and #4) of 2 (#3 and #4) or 100% of Clinical Records reviewed with orders for HHA services.

The Licensed Practical Nurse (LPN) did not follow accepted professional standards for infection control in 1(#4) of 1(#4) home visit conducted to observe the Skilled Nurse (SN) obtain a lab specimen from a PICC (Peripheral Inserted Central Catheter) line.

The Agency staff failed to ensure accurate and timely documentation of care coordination and communication between the healthcare team members in 4 (#2, #5, #11 and #12) of 13 (#1 - #13) Clinical Records reviewed.