Family Home Health Agency, LLC

The home health agency staff failed to ensure care followed the written plan of care (POC) by not assessing all the medication that a patient was taking and provided instruction for one of seven sampled patients (Patient 1).

The hospice agency nursing staff failed to wash/sanitize hands after he removed the gloves which touched the soiled dressing and trash bag for two of 7 sampled patients (Patient 1 and 4).

The Home Health Agency (HHA) failed to ensure that skilled services provided by agency staff adhered to the HHA’s own policy and procedure for infection control, for one of 7 sampled patient (Patient 4).

The home health agency (HHA) staff failed to review all the medications compared with the medication profile and clarify/follow up with any discrepancies with the physician for two of 7 sampled patients (Patient 1, 5).

The home health agency (HHA) failed to ensure the management of orthostatic hypotension [physical finding defined as a systolic blood pressure decrease of at least 20 millimeter mercury (mm Hg) or a diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing] was…

The Home Health Agency (HHA) failed to provide instruction for the need of control solution test of a patient’s glucometer, and the management of insulin (regarding opened Novolog insulin expires after 28 days) for a patient who was receiving insulin therapy for one of 7 sampled patients (Patient…

The Home Health Agency (HHA) failed to ensure written information of the patient's medications, including the action and side effects, were provided to the patient/caregiver for one of 7 sampled patients (Patient 1).

The agency staff failed to do wound assessments on a stage 3 right buttock pressure sore (the sore gets worse and extends into the tissue beneath the skin, forming a small crater.) during skilled nurse visits for one of seven patients (#4).

The home health agency (HHA) staff failed to ensure coordination of care between the agency, patient and patient caregiver regarding urinalysis results for one of seven patients (#1) This deficient practice has the potential to affect the patient's overall health status.

The (registered nurse) failed to maintain aseptic technique (free from contamination, to prevent spread of infection) when providing wound care for one of seven patients.