Excela Health Home Care & Hospice

The agency failed to follow physician orders for one (1) of four (4) CR's reviewed.

The agency failed to promptly alert physician of relevant changes in patient condition for one (1) of four (4) CR's reviewed.

The agency failed to consult the signing physician for orders/modification to a plan of care (POC) that could not be completed for one (1) of seventeen (17) CR reviewed.

The agency failed to ensure interventions were performed per physician order for one (1) of seventeen (17) CR reviewed.

The agency failed to ensure clinical procedures carried out per agency protocol to ensure infection control/prevention for one (1) of two (2) OBS of clinical procedures conducted (OBS 6).

The agency failed to assess and document wounds per agency policy for three (3) of three (3) CR reviewed that included non-surgical wound care.

The agency failed to ensure clinicians conduct a review of all medications the patient is currently using for one (1) of six (6) observations conducted in the home.

The agency failed to ensure the Plan of Care (POC) contained supplies and equipment required for eight (8) of seventeen (17) CRs reviewed (CR1-3, 6, 10, 11, 13, & 16).

The agency failed to provide all services ordered by the physician as stated in the Plan of Care (POC) for one (1) of ten (10) CR reviewed that included orders for ancillary services.