Firstat Nursing Services-West Palm Beach

The HHA failed to ensure an accurate and complete record for 2 of 16 sampled patients as evidenced by the failure to ensure an accurate diagnosis was recorded in Patient #3’s Plan of Care (POC) and include "Missed Visit" Notes as part of Patient #7's record (Patient #3 and #7).

The HHA's Skilled Nurse failed to ensure education to 2 of 16 sampled patients and or caregivers related to the patient's principal diagnosis (Patient #8 and #13).

The HHA failed to follow their own Complaint Policy, and findings of their "Complaint Report and investigation, to ensure follow up for 1 of 3 sampled patients (Patient #1).

The Home Health Agency (HHA) failed to ensure 1 of 3 sampled patients was informed of the services and frequency of proposed visits of care (Patient #1).

The Home Health Agency (HHA) failed to ensure coordination of care for 1 of 3 sampled patients.

The Home Health Agency (HHA) failed to comply with State regulations and obtain approval of their updated Comprehensive Emergency Management Plan (CEMP) from the County Department of Health.

The HHA failed to follow infection control procedures for 5 of 6 sampled patients observed, related to the failure to conduct "hand hygiene" between glove changes during the wound care, the failure to clean the Blood Pressure machine after use and before being returned to the nurse's "clean bag"…

The Home Health Agency (HHA) failed to ensure the development of written patient care instructions for the Home Health Aide, for 1 of 3 sampled patients (Patient #2).

The HHA's Skilled Nurse failed to complete the patient's "Assessment" and failed to follow the HHA's Policy and Procedure related to "Assessment" for1 of 6 sampled patients (Patient #9).

The Home Health Agency's (HHA's) skilled nurse failed to ensure education to 2 of 17 sampled patients and or caregivers related to a new or primary diagnosis and a new medication (Patient #2 and #3).

The Home Health Agency (HHA)'s Skilled Nurse failed to communicate the delay of Home Health Aide services and failed to clarify the Home Health Aide frequency with the patient's physician for 1 of 17 sampled patients (Patient #2).

The Home Health Agency (HHA) failed to ensure the onsite visit for 1 of 1 sampled patients who received Home Health Aide services for more than 14 days, for the completion of the Home Health Aide supervision (Patient #2).

The HHA failed to ensure an accurate and complete record for 1 of 17 sampled patients as evidenced by failure to have a "Missed Visit Note" as part of the patient's record (Patient #15).