Central Home Health Care, an Amedisys Company

The agency failed to ensure the patients' individualized plans of care/treatment included all of the required elements to address the identified needs for one of four (# 2) sampled patients (P).

The agency staff failed to document a discharge summary and inform the physician of the availability of a discharge summary for 2 of 4 (#1 and #2) sampled patients (P).

The agency failed to ensure that patient's medication profile and plan of care was updated to reflect current medications at the time of the comprehensive assessment for five (5) of nineteen (19) Patients (P) (P#14, #15, #16, #18 and #19) sampled.

The agency staff failed to conduct an assessment after Patient (P) #2 was discharged from the hospital within 48 hours of referral or on the physician order for resumption of care date for one(1) of nineteen (19) sampled patients.

The agency failed to ensure that patient's plan of care was updated to reflect current medications at the time of the comprehensive assessment for five (5) of nineteen (19) Patients (P) (P#14, #15, #16, #18 and #19) sampled.

The agency failed to follow physician’s order to weigh P#3 daily if unable to weigh patient may measure abdominal girth during home visit, and agency failed to follow wound care dressing order for P#19, two (2) of thirteen (19) patients (P) sampled.

The agency failed to ensure the plans of care which contained verbal orders were signed by the physician within the required 30-day time frame for seven (7) of nineteen (19), Patients (P) (#2, #4, #5, #6, #7, #16, and #18) sampled patients.

The agency failed to ensure that the plan of care for visit frequency was followed as ordered by the physician for 1 of 3 sampled patients (P) #1.

The agency staff failed to ensure that the patient's right to be informed in advance regarding changes in the plan of care was communicated for 1 of 4 sampled patients (#4).

The agency failed to comply with all applicable Federal, State and local Emergency Preparedness (EP) requirements by not testing the EP program to include the required number of exercises/events annually followed by an analysis and documentation of the agency's response with revision to the EP…

The agency staff failed to conduct an initial assessment within 48 hours of referral or on the physician ordered start of care date for 5 of 17 sampled patients (#3, #4, #7, #10, and #16).

The agency failed to ensure the patients' individualized plan of care included all of the required elements to address the patients' needs for 1 of 17 (#9) sampled patients.

The agency staff failed to ensure treatments were administered only as ordered by the physician for 3 of 17 (#6, #10 and #13) sampled patients.

The agency failed to ensure the plans of care which contains verbal orders were reviewed and signed by the nurse and the physician within the required 30 day time frame for 7 of 17 ( ,#4 #6, #7, #11, #15, #16, and #17) sampled patients.

The agency failed to provide services as ordered by the physician in the plans of care for 5 of 17 (#1, #9, #10, #12, and #14) sampled patients.

The personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for 2 of 17(#14 and #16) sampled patients.

The personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for 2 of 17(#14 and #16) sampled patients.

The agency failed to ensure documentation in the clinical records included all interventions and responses to the interventions in accordance with professional standards for 6 of 17 (#2, #3, #4, and #10, #11,and #15) sampled patients.