Enhabit Home Health
Inspection 2018-10-24
· Recertification · 12 deficiencies · CMS source report (PDF)The agency failed to ensure: 1) wound care was provided according to physician orders. 2) PICC (peripherally inserted venous catheter) care was provided per physician orders. 3) Weekly lab was obtained as ordered.
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The agency failed to ensure the staff followed the policy for hand hygiene and bag technique.
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The agency failed to ensure the Aide Care Plan included interventions and directions to meet the patient's needs.
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The agency failed to ensure the staff updated the Client Medication Report (CMR) per the agency policy.
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The agency staff failed to ensure the plan of care contained: 1) all medications used for diagnostic treatments via a PICC (peripherally inserted central catheter) including normal saline flushes after obtaining lab via a PICC line. 2) measurable outcomes and goals for care of a PICC.
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The agency failed to notify the physician in changes in the patients condition.
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The agency failed to ensure the following: 1. The patient or caregiver was provided specific instruction on how to perform wound care.
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The agency failed to ensure the home health aide followed the written plan of care and accurately documented the care provided.
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The agency failed to ensure the Registered Nurse (RN) demonstrated skills competency for care of a PICC.
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The nursing staff failed to reassess patient wounds weekly according to the agency policy in 2 of 9 records reviewed of patients with wounds.
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The staff failed to document all patient care provided in the medical record.
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The staff failed to complete and send a transfer summary for all unplanned inpatient transfers.
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