Craig Home Care Inc.

The agency failed to maintain a clinical record containing past and current information for 8 of 8 patients reviewed.

The agency failed to follow physician order for 1of 8 patients reviewed (Patient 5) as agency staff continued to administer Veramyst nasal spray following a physician order to discontinue the medication.

The agency failed to update the plans of care to reflect orders received from the patient's physician for 4 of 8 patients reviewed (Patient 1, 2, 5, and 8).

The agency administration failed to provide oversight to ensure the development, implementation and updates of the individualized patient plans of care occurred.

The agency failed to provide services in accordance to physician orders for 3 of 7 patients reviewed (Patient 1, 5 and 4) as physician orders were not followed as written.

Agency policy and procedure and staff interview the agency staff failed to report an allegation of neglect to the home health agency and the agency failed to report the allegation to the appropriate authorities as required for 1 of 1 patients (Patient 1).

The agency failed to conduct/participate and complete a community based full scale and/or an individually based tabletop excercise as required by the emergency preparedness Condition for Participation (COP) requirements with an implementation date of 11/15/17 or between 11/15/17 and 2/7/18.…

The agency failed to ensure staff performed proper handwashing/sanitizing and gloving in accordance with agency policy for 1 of 3 patients observed during the provision of home health cares (Patient 2).

The agency failed to ensure a Registered Nurse (RN) completed an onsite Home Health Aide (HHA) supervisory visit with or without the HHA present no less frequently then every 14 days for 1 of 1 patients receiving HHA and Skilled Nurse (SN) services ( Patient 1).