Complete Home Health, Inc.

The agency failed to ensure the patient's written individualized POC (Plan of Care) was followed as evidenced by: 1. the SN (Skilled Nurse) failed to change the patient’s trach (tracheostomy) ties every day as ordered which resulted in the patient sustaining a wound to the left side of her neck…

The agency failed to ensure the SN (skilled nurse) notified the RN/Physician of changes in the patient’s respiratory status for 1 (#5) out of 10 sampled patients.

The agency failed to ensure the patient's injury of unknown source was investigated for 1(#3) out of 3 (#1, #2, and #3) sampled patients.

The agency failed to ensure the patient's written individualized POC (Plan of Care) was followed as evidenced by failing to ensure SN (Skilled Nurse) visits were made per the POC for patient (#1, #3) and failing to ensure PT (Physical Therapy) visits were made per the POC for patient (#3) for 2 out…

The home health agency staff failed to demonstrate that effective coordination of care occurred when the SN (Skilled Nurse) and the external organization’s staff failed to communicate that there was a change in the medication without an order from the physician for 1 (#1) out of 3 (#1, #2, #3)…

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the Skilled Nurse (SN) failing to provide 72-84 hours of extended nursing care services per week as ordered per the POC for 1 (Patient #2) out of 5 (#1- #5) sampled patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the Skilled Nurse (SN) failing to provide 60 hours of extended care nursing services per week as ordered per the POC and physician’s orders for 1 (patient #2) out of 5 sampled patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the LPN (Licensed Practical Nurse) failing to notify the agency's RN (Registered Nurse) and/or the patient's physician of abnormal findings when identified for 1 (Patient #1) out of 5…

The agency failed to provide evidence that the RN (Registered Nurse) ensured that the LPN received orientation and training prior to providing patient care and services for 1 (patient #2) out of 5 sampled patients.

The agency failed to ensure the patient's individualized written plan of care was followed and services was provided as evidenced by no evidence found that the agency provided 48-56 hours of skilled nurse (SN) services for Patient #2 and #5 out of a sample of 5 (1-5) sampled patients.

The agency failed to ensure the patient's individualized written plan of care was followed as evidenced by: 1. SN (Skilled Nurse) not providing daily PROM (passive range of motion) exercises for Patient #3 and 2. Missed SN visit during the week of 9/28/20 for patient #6 for 2 (#3, #6) out of 7…

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the SN (Skilled Nurse) failing to provide the minimum extended care service hours for the weeks of 12/18/2019, 12/23/2019, 12/30/2019, 1/6/2020, and 1/27/2020 for 1 (#2) out of a total…

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by 1. the SN (Skilled Nurse) failing to provide the minimum extended care service hours for the weeks of 7/22/19, 8/5/19, and failing to provide extended care services for the week of…

The agency failed to ensure the comprehensive assessment was revised within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests as evidenced by no documentation in Patient #2's medical record of an RN (Registered…

The agency failed to coordinate care delivery to meet the patient's needs as evidenced by no documentation found of the agency notifying the physician of missed visits for 2 (Patient #2 and #3) out of 5 (#1-5) sampled patients.

The agency failed to provide services to Patient #3 as ordered in the plan of care as evidenced by the following: 1. Documentation found that the agency failed to provide 12 hours of services on 7/22/19 and failed to provide services to the patient on 8/4/19 and on 8/18/19 and; 2. On 7/15/19 the…

The agency failed to ensure skilled professional services are delivered only by health care professionals who meet the appropriate qualifications who practice according to the HHA's policies and procedures as evidenced by no documentation of a competency evaluation after training S4LPN to work with…

The agency failed to investigate a complaint made by the Patient #3's representative concerning S6DSW finding a baby wipe that was placed in the patient rectum by S4LPN on 10/3/18 for 1 (#3) our of 5 (#1-5) sampled patients.

The agency failed to ensure services were provided in accordance with current clinical practice guidelines and accepted professional standards of practice as evidenced by documentation dated 10/3/18, that indicated S6DSW found a baby wipe pushed up in the rectum of Patient #3 after getting report…