D W McMillan Home Health

The agency failed to keep the medication profile (MP) current.

The agency failed to ensure staff developed an individualized Plan of Care (POC) to care for a patient's gastrostomy tube (g-tube).

The agency failed to ensure wounds were assessed and measured per agency policy.

The agency failed to ensure the data collected for the Outcome and Assessment System Information Set (OASIS) was accurate when documenting the Transfer to an Inpatient Facility (TIF) OASIS.

The agency failed to ensure the initial physical therapy (PT) evaluation was completed within 5 days of the PT referral as directed by the agency's policy.

The agency failed to ensure a psychiatric nursing evaluation was completed within 48 hours of the referral as directed by the agency's policy.

The agency failed to ensure medications were reconciled in 3 of 4 home visits (HV) reviewed.

The agency failed to ensure the staff obtained and documented complete and accurate physician orders to include frequency of visits.

The agency staff failed to notify the physician related to changes in patient's health status.

The agency failed to ensure patient/ caregiver were taught to provide care and disease management as ordered.