Enhabit Home Health

Staff the Plan of Care [POC] failed to include all/correct/current medications the patient was using for 4 of 17 patients [#7, 8, 9, 17]. The findings included: The policy, Medications [revised date 6/24/24], was provided by the area vice president on 8/21/24 at 8:25 am.

The catheter was not changed during the month of July, and the catheter had not been changed as of 8/19/24. During an interview with the area vice president of the agency on 8/21/24 at 3 pm, the VP [vice president] stated, “Our nurses do not change the catheter.

Staff interviews the skilled nurse failed to complete wound care as ordered for 1 of 1 patient with an infected wound [#1]. The findings included: Patient # 1 had a Start of Care [SOC] date of 10/7/23 with an admitting diagnosis of type 2 diabetes mellitus with foot ulcer, non-pressure chronic…

Agency policy review, and staff interviews, the skilled nurse educated a patient on taking a medication without a physician's order for 1 of 1 patient with and infected wound [#1]. The findings included: The policy, Physician's role [revised date 10/18/23], was provided by the area vice president…

Direct observation and staff/patient interviews the physical therapy assistant failed to notify the physician of a change in condition for 1 of 2 patients who received dialysis [#7]. The findings included: The policy, Coordination of Care [revised 10/18/23], was provided by the area vice president…

The agency failed to follow the Plan of Care [POC] related to reporting weights outside the given parameters for 1 of 6 active records [with no visit] [#2]; failed to obtain O2 saturation readings for 3 of 18 records [# 2, 7, 15]; failed to perform wound care in accordance with the POC for 2 of 18…

The Plan of Care did not include the correct/current medications the patient was using for 5 of 18 records [# 11, 15, 17, 5, 12]; failed to include the oxygen rate for 1 of 6 active records [without visits] [#1]; failed to include the use of a incentive spirometry for 1 of 6 active records [#1]…

Staff interviews the agency failed to notify the physician of a fall for 1 of 6 active records [no visit] [#5]; failed to report lethargy requiring sternal rub for 1 of 1 records with an order for speech therapy [#7]; failed to notify the physician of an allergy to a medication the patient was…

The agency failed to complete a transfer summary for 1 of 1 patients’ transfer to hospital (#18).

The agency failed to follow the Plan of Care for 1 of 3 patients (#1): Findings include: Patient #1 was admitted on 2/2/20 for urinary catheter management.

The agency failed to coordinate care with the physician for 1 of 3 patients (#1): Findings include: A policy, “Coordination of Services” (reviewed 10/16/20), was provided by the agency administrator on 7/2/21 at 9:00 a.m.

Staff interviews the Physician Order was not followed for dressing changes/wound assessment for 1 of 1 patient who was confined to the bed [#10]; and did not report blood sugars outside the given parameters for 1 of 1 patients receiving dialysis [#14]. The findings included: Patient # 10 had a…

The agency failed to demonstrate effective coordination of care between the RN and the LPN for 2 of 17 patients [#8 and 9]. Findings include: 1A.

The medications in the plan of care were not current for 4 of 7 patients that received home visits [#13, 10, 11, and 12]. Findings include: 1. Patient #13 was admitted on 11/6/18 with acute embolism and thrombus to the lower extremities [blood clots in legs and atrial fibrillation]. A home visit…

Staff interviews the agency obtained a urine specimen without a Physician's order for 1 of 1 patients [#10]. Findings included: Patient #10 had a Start of Care [SOC] date of 8/9/17 and diagnoses of Pressure Ulcer of Sacral [low back] Region, Stage 3 [presents as an abrasion, blister or shallow…

The agency failed to communicate all changes to the physician for 5 of 17 patients [#8, 7, 16, 9 and 14]. Findings include: 1A.

The home health aide failed to follow the plan of care for 1 of 1 patients that received a home health aide (#13).