Clark County Home Health Agency

The home health provider failed to ensure staff performed a complete medication review in one of five full records reviewed (Record/Patient #2).

The provider failed to provide physical therapy (PT) services at the frequency ordered in two of five full records reviewed (Records/Patients #1 and #4).

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 preprinted admission booklet.

The agency failed to ensure an initial assessment visit was conducted to determine the immediate care and support needs of the patient within 48 hours of referral in one (Record/Patient #3) of 5 full records reviewed.

The agency failed to review all medications the patient was currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy…

The agency failed to notify/communicate with the physician regarding patient care changes in one (Record/Patient #4) of five full records reviewed.

The agency failed to provide the patient/caregiver with a copy of written instructions outlining the visit schedule, including frequency of visits in two (Records/Patients #1, and #3) of three home visit observations.

The agency failed to provide in writing the name and contact information of the clinical manager in three (Records/Patients #1, #2, and #3) of three home visit observations.

The agency failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice when they failed to follow their established policy regarding written clinical and progress notes in three (Records/Patients #1, #2, and #4) of five full…

The agency failed to ensure a completed comprehensive discharge summary was sent to the primary care physician or other professional who would be responsible for providing care and services to the patient after discharge from the agency/services within five business days of the patient’s discharge…

The agency failed to assure integration of services and coordination of care between all disciplines caring for the patient whether provided directly or under arrangement in, but not limited to two (Patient/Record #3, #4) of five applicable cases.