Carteret Health Care Home Health and Hospice

The agency failed to perform hand hygiene prior to entering the clinical bag for 1 of 3 skilled nurse home visits.

The RN failed to provide services/treatments in accordance with the Plan of Care for 1 of 2 patients with a PICC [peripherally inserted central catheter-form of intravenous access that can be used over an extended period] line [#16]. The findings included: The policy Peripherally Inserted Central…

Staff interview the agency failed to follow the plan of care for assessing vital signs for 3 of 18 records reviewed (#3, #5, and #14) and failed to follow the plan of care for assessing hypo/hyperglycemia (low/high blood glucose level) for 1 of 5 records reviewed (#10) with diabetes.

The agency failed to document the accurate wound location on the Plan of Care for 1 of 4 patients (#13) with wounds.

Staff interviews the agency failed to individualize the Plan of Care [POC] to include Oxygen Saturation [O2 Sats] parameters for 5 of 5 patients requiring monitoring of O2 Sats [#2, 3, 4, 6 and 7] and failed to include blood sugar parameters on the POC for 2 of 2 patients requiring blood sugar…

Staff interviews the agency failed to coordinate missed visits with the physician for 4 of 4 patients [#4, 5, 10 and 12]; and failed to notify the physician that the patient declined speech therapy services for 1 of 1 patients [#4]. The findings included: The "HOME HEALTH COORDINATION OF SERVICES"…