Clark Fork Valley Home Health

The agency failed to develop and implement a policy and procedure which ensured all patients of the HHA have an individualized plan in the event of an emergency.

The agency failed to develop a policy and procedure which outlines which organizations to inform of the need for patient evacuations.

The agency failed to ensure the agency developed a method for sharing information and medical documentation for patients under the agency's care, as necessary, with other health care providers to maintain continuity of care.

The agency failed to ensure emergency preparedness training was completed for all home health agency staff and documented on an annual basis.

The agency failed to conduct an annual staff drill which included a full-scale community-based exercise and tabletop exercise.

The agency failed to ensure all physician ordered services were included in the POC for 1 (#2) of 9 sampled patients.

Agency staff failed to follow accepted standards of practice by failing to perform hand hygiene during wound care and dressing changes on 1 (#5) of 9 sampled patients.

The agency failed to ensure the Physical Therapist completed and documented an onsite-supervisory visit, of the PTA, every two weeks for 1 (#3) of 9 sampled patients.

The agency failed to include oxygen on the medication list of the POC for 1 (#2) of 9 sampled patients.

The agency failed to ensure indicator #12 and #13 were completed on the 485 for 8 (#s 1, 2, 3, 4, 5, 6, 7 and 8) of 9 sampled patients.

Agency staff failed to ensure wound care services were administered for 1 (#5) of 9 sampled patients as ordered by a physician.

Agency staff failed to promptly alert the physician of worsening pressure ulcers for 1 (#5), and the development of a new stage 2 pressure ulcer for 1 (#7) of 9 sampled patients.

The agency failed to provide additional training to the HHA on communication skills and recognizing and reporting changes in patient skin conditions.

The agency failed to conduct on-site supervisory visits, of the home health aides, every two weeks for 1 (#3) of 9 sampled patients.

The agency failed to ensure the skilled nurses whom provided home visits maintained a current cardiopulmonary resuscitation (CPR) certification.

Agency staff failed to follow accepted professional standards of practice by not initialing and dating dressings after wound care on 1 (#5) of 9 sampled patients.