Firstat Nursing Services

The agency failed to provide current annual trainings for infection control and competency based performance testing for 3 of 5 sampled employee records (A, B & C).

The facility failed to provide an accurate patient census for discharged patients who received skilled care services from the home health agency for 1 of 2 sampled discharged patients (#1).

The home health agency failed to ensure patient education and training was provided regarding identified patient needs for discharge planning for 1 of 3 sampled patients (#1).

Based interview and record review, the agency failed to ensure that 2 of 4 sampled patients received a written visit schedule to include frequency and type of home visits by agency personnel (#1 & 3).

The home health agency failed to provide services as ordered by the physician as indicated in the plan of care for 1 of 3 sampled patient records (#1).

The agency failed to ensure the home health aide (HHA) followed the aide care plan for 1 of 8 sampled patients (#8) Findings: Medical record review for patient #8 revealed he was admitted into the agency on 5/25/18 with diagnoses including cerebral vascular accident with left sided hemiplegia…

The agency failed to ensure the plan of care (POC) contained the types of services and the frequency and duration of visits to be made related to the home health aide (HHA)for 1 of 8 sampled patients (#8).

The agency failed to ensure the home health aide (HHA) was ordered by the physician for 1 or 8 sampled patients sampled (#8).