Carroll County Memorial Hospital

The agency failed to ensure that the patients received the home health services that were written on the individualized POC (plan of care) when the patients did not receive visits according to the visit frequency ordered on the POC in, but not limited to, one (Record/Patient #2) of five full record…

The agency failed to update the written notice of patient rights to be advised, orally and in writing, of the extent to which payment for services may be expected from Medicare, Medicaid, or any other Federally-funded or Federal aid program known to the HHA (home health agency).

The agency failed to ensure staff provided the written notice of the updated state toll free home health telephone hotline hours of operation (7:00 AM to 8:00 PM, seven days a week) in the admission booklet.

The agency failed to complete medication reconciliations and ensure staff reviewed all of the medications the patients were currently using in order to identify any potential adverse effects, drug interactions and noncompliance with drug therapy in one (Record/Patient #4) of three home visit…

The agency failed to ensure staff provided a written visit schedule to patients that included what discipline was visiting, when the discipline would visit, and the frequency of visits in two (Record/Patient #4, and #5) of three home visits.

The agency failed to provide evidence that a completed comprehensive discharge summary was sent to the primary care physician after discharge from the agency's services within five business days of the patient's discharge in one (RECORD/PATIENT#3) of two discharge records reviewed.

The agency failed to provide evidence that the frequency and detail of the quality data collection was approved by the agency's governing body.

The agency failed to ensure the registered nurse (RN) developed and maintained a complete and accurate aide care plan/assignment in two (Record/Patient #3, #4) of two applicable records of patients receiving aide services.

The agency failed to ensure the individualized plan of care (POC) contained accurate and complete information in but not limited to two (Record/Patient #3, #5) of five records reviewed.

The agency failed to ensure all verbal orders were timed in two (Record/Patient #3, #4) of five records reviewed.

Employee file review and interview the agency failed to ensure staff completed agency in-service training/education in three applicable cases (E-1, E-2, E-3).