Freeman Home Care Services

The home health provider failed to ensure their patient’s medications were reconciled to include all of the medications the patient was currently using in three of six full records reviewed (Records/Patients #1, #2, and #7).

The home health provider failed to ensure the individualized plan of care contained the patient-specific interventions in one of six records reviewed (Record/Patient #2).

The home health provider failed to ensure nursing staff documented coordination of care with all physicians in one of six full records reviewed (Record/Patient #4).

The home health provider failed to ensure nursing staff followed the plan of care (POC) for frequency of visits for two patients (Records/Patients #1 and #5) and for wound monitoring in one of six full records reviewed (Record/Patient #4).

The agency failed to put in place a program for screening visitors/non-employees who entered the home health agency office for COVID-19 (pandemic infection) signs and symptoms.

The agency failed to conduct a complete initial comprehensive assessment, when the registered nurse (RN) failed to assess and document the patient's use of an insulin pump in one (Record/Patient #2) of five full records reviewed.

The agency failed to ensure/maintain an accurate and complete review of all medications the patient was currently using in four (Records/Patients #1, #2, #3, and #5) of five records reviewed.

The agency failed to ensure the plan of care (POC) included all medications the patient was taking in one (Record/Patient #1) of three records reviewed.

The agency failed to ensure each patient received written information related to visit schedule/instructions in two (Record/Patient #1 and #2) of three home visits made.

The agency failed to ensure a complete comprehensive discharge summary containing relevant information was sent to the primary care practitioner or other health care professional who will be responsible for providing care to the patient after discharge within five business days of the patient's…

The agency failed to ensure an accurate medication review and/or update of patient medications was completed in, but not limited to, three (Records/Patients #1, #2 and #5) of five records reviewed.

The agency failed to ensure staff coordinated care with the caregiver to ensure competency of the caregiver to perform wound care for one patient (Record/Patient #2) of five charts reviewed.

The agency failed to follow current standards of practice during insertion of an indwelling urinary catheter (a tube inserted into the bladder to drain urine) in one (Record/Patient #3) of one patient reviewed who had a urinary catheter.