Esteem Home Health, Inc.

The agency failed to ensure coordination of care for one of three patients (#1) whose records were reviewed in that: RN C did not coordinate with Patient #1 for the follow up with his podiatrist for wound care order for his left foot.

The agency failed to ensure the patient's comprehensive assessment included a current medication list in each patient records to identify any potential adverse effects and drug interactions, including ineffective drug therapy, significant side effects, and significant drug interactions for one of…

This deficiency was previously cited during the last recertification on 09/11/2020. Based on record review and interview, the agency failed to ensure the individualized POC for three of three active clients (Patients #1, #2, and #3) included information related to any advance directives.

The facility failed to provide documentation of conducting an additional exercise that may have included, but was not limited to, a second full-scale exercise (that was community-based or individual, facility-based) or a tabletop exercise (that included a group discussion led by a facilitator…

The supervising nurse failed to ensure that care was provided according to the patient's needs as written in the Plan of Care (POC) for three of five active patients (Patients #1, #2, and #5) whose clinical records were reviewed, in that Patients #1, #2, and #5 did not have the patient weight…

The agency failed to enforce a written policy addressing the prevention of the spread of infection and communicable disease and to ensure staff meet certain Occupational Safety and Health Administration (OSHA) (an agency of the United States Department of Labor which maintains employee and public…

The agency failed to have a current medication list in each patient records applicable to the services provided for three of the five active patients (Patients #1, #3 and #4), in that: 1. Patient #1 had Nuvigil (helps with sleepiness) and Plavix (blood thinner) listed twice on the medication list…

The agency failed to enforce a written policy that describes its patient care practices for planning patient care for three of five active patients (Patients #3, #4, #5) and for two of two inactive patient (Patients #6 and #7) whose records were reviewed, in that: 1. There was no Advance Directive…

The agency failed to document in the patient record the steps it took to make each patient's care coordinated among all service providers for two of five active patients (Patients #2 and #4), in that: 1. There was no documentation that the agency communicated care with Patient #2's physician of the…