Conway Regional Homecare Svcs

The agency failed to ensure a means of measuring pain control was part of the assessment tool for the skilled nurse and other professionals to utilize as part of the individualized care plan for 13 (#1- #6 and #8 - #14) of 17 (#1 - #17) clinical records reviewed.

The agency failed to ensure a physician's order was followed as demonstrated by sterile water was utilized rather than saline during a wound care dressing change for 1 (#6) of 5 (#6 -#10) patients with wound care observed and clinical records reviewed.

The agency failed to ensure the nurse visited a patient and notify the physician with a change of condition status for 1 (#16) of 17 (#1 - #17) clinical records reviewed.

The agency failed to ensure orders for therapy visits were set as a frequency consistent with the patient's current plan of care for 9 (#1, #3 - #7, #9, #16, and #17) of 9 clinical records reviewed that had orders for therapy.

Agency staff Clinicians failed to notify the Physician when the updated Comprehensive Assessment indicated a change in condition in 2 (#1 and #8) of 13 (#1 - 13) Clinical Records reviewed.

The Licensed Practical Nurse (LPN) did not communicate with the Registered Nurse (RN) information regarding patient status and health needs in 1 (#1) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) failed to continually evaluate and update the Patient's Plan of Care (POC) to ensure a current and accurate medication regimen in 1 (#6) of 13 (#1 - #13) Clinical Records reviewed.

The Agency staff failed to ensure current and accurate documentation of Supervisory Aide Visits (SAV) and medications in 2 (#6 and #11) of 13 (#1 - #13) Clinical Records reviewed.