Franklin County Medical Center Home Care

The agency failed to ensure patients were free from all forms of neglect.

The agency failed to ensure POCs were accurate, included all pertinent items, and physicians were alerted to changes in patient condition.

The agency failed to ensure the comprehensive assessment was accurate to reflect the patients status for 1 of 7 patients (Patient #2) whose records were reviewed.

The agency failed to ensure skilled services were provided in accordance with established agency polices, for 1 of 7 patients (Patient #2).

The agency failed to ensure that patients received all services outlined in the plan of care for 1 of 7 patients (Patient #2) whose records were reviewed.

The agency failed to ensure staff reported and documented potential patient neglect to appropriate authorities in accordance with state law for 1 of 1 patient (Patient #1) who had documented potential neglect and whose record was reviewed.

The agency failed to ensure the POCs included all interventions, measurable outcomes, medications, and goals for 2 of 7 patients (Patient#1 and #2) whose records were reviewed.

The agency failed to ensure physicians were promptly alerted to changes in patients' conditions or needs that suggested a need to alter the POC for 1 of 7 patients (Patient #2) whose medical records was reviewed.

The agency failed to ensure recertification comprehensive assessments were updated to include necessary information for 1 of 3 patients (patient #7) whose care was observed and whose records were reviewed.

The agency failed to ensure accepted IC standards of practice were followed for 2 of 3 patients (#3 and #7) whose visits were observed and whose records were reviewed.

The Governing Body failed to ensure overall management of the agency.

The agency failed to ensure patients were provided a written notice of patients' rights and responsibilities in advance of furnishing care for 2 of 7 patients (#1 and #5) whose SOC records were reviewed.

The agency failed to ensure patients were informed in writing of their specific financial responsibilities for 1 of 3 patients (Patient #5) whose care was observed and whose records were reviewed.

The agency failed to ensure grievance resolutions were documented and provided for 2 of 2 documented patient grievances reviewed.

The agency failed to ensure staff reported potential patient neglect to appropriate authorities in accordance with state law for 1 of 1 patient (Patient #1) who had documented potential neglect and whose record was reviewed.

The agency failed to ensure SOC comprehensive assessments accurately reflected patients' psychosocial needs for 1 of 1 patient (Patient #1) who had documented unaddressed psychosocial needs and whose record was reviewed.

The agency failed to ensure patients' POC included patient-specific interventions and education for 1 of 1 patient (Patient #1) who was receiving hemodialysis and whose records were reviewed.

The agency failed to ensure medications were administered only as ordered by the physician for 1 of 7 patients (Patient #2) whose records were reviewed.

The agency failed to ensure a physician was consulted to approve the patients' POC, and patients received the services included in their POC for 5 of 7 patients (#1, #2, #5, #6, and #7) whose records were reviewed.

The agency failed to ensure patients were given all information necessary to consent to the release of medical information from other providers, for 7 of 7 patients (#1 to #7) whose records were reviewed.

The agency failed to ensure SOC comprehensive assessments accurately reflected the patients' status for 1 of 7 patients (Patient #4) whose records were reviewed.

The agency failed to ensure all patient medications were reviewed, updated with changes, and included on the POC, for 2 of 3 patients (#4 and #5) whose care was observed, and whose records were reviewed.

The agency failed to ensure patients' comprehensive assessments were updated at the time of discharge to include the patients' progress in meeting care plan goals for 1 of 2 patients (Patient #3) whose closed records were reviewed.

The agency failed to ensure the plan of care covered all pertinent diagnoses, allergies, and interventions for 5 of 7 patients (#1 #3, #4, #5, and #6) whose records were reviewed.

The agency failed to ensure staff promptly alerted the physician to changes in patients' condition or needs, for 2 of 7 patients (#2 and #3) whose records were reviewed.

The agency failed to ensure discharge plans were communicated to the patient and the physician for 1 of 2 patients (Patient #3) whose closed records were reviewed.

The agency failed to ensure coordination of patient care for 2 of 5 patients (#4 and #7) who received services from more than 1 discipline and whose records were reviewed.

The agency failed to ensure care was coordinated to meet the needs of the patient for 1 of 3 patients (Patient #4) who received home visits and whose records were reviewed.

The agency failed to ensure therapists assessed patients' vital signs as ordered on the POC for 2 of 4 (#5 and #6) patients who recieved therapy services and whose records were reviewed.

The agency failed to ensure aides completed vital signs as ordered on the aide care plan for 1 of 3 patients (Patient #4) who received aide services and whose records were reviewed.

The agency failed to ensure aides completed documentation of tasks completed during the aide visit for 2 of 3 patients (#5 and #7) who received aide services and whose records were reviewed.

The agency failed to ensure patients receiving home health aide services received an on-site supervisory visit at least every 14 days, for 1 of 3 patients (Patient #1) who received aide services and whose records were reviewed.

The agency failed to ensure the agency's administrator was appointed by and reported to the governing body.

The agency failed to ensure all staff in direct patient contact followed Idaho Administrative Code Rules for Home Health Agencies (IDAPA 16.03.07.021.03.e), failure to ensure all staff in direct patient contact maintained a current CPR certification.

The agency failed to ensure a qualified person was authorized in writing to act in the absence of the Administrator.

The agency failed to ensure the contracts utilized for therapy services followed Idaho Administrative Code Rules for Home Health Agencies (IDAPA 16.03.07.021.03.h.i-viii.) Failure to clearly outline expectations and evaluate contracted services had the potential to impact the quality and…