Gaffey Home Nursing & Hospice, Inc

The Agency failed to ensure that wound care measurements were conducted, as per Agency policy.

The Agency failed to ensure Pts. were provided with the correct information to file a concern or complaint with the Illinois Department of Public Health in 7 of 7 clinical records reviewed (Pts. #1, 2, 3, 4, 5, 6, and 7).

The Agency failed to ensure that the Plans of Care (PsOC) included Pt. specific interventions.

The Agency failed to conduct complete assessments of patients' Influenza and Pneumonia vaccination status.

6 and 7) the Agency failed to provide information regarding the Clinical Manager/Agency Supervisor and their contact information.

The Agency failed to ensure that staff provided care as ordered by the physician.

The Agency's admission consents lacked the disciplines that will furnish care and frequency of visits.

The Agency failed to document complaint resolution and outcome.

The Agency failed to ensure the Staff documented all interventions/ services and responses to those intervention/ services.

For 3 of 3 (Pt #1, Pt #2, Pt #3) patient home visits, the Agency failed to ensure patients received an individualized Emergency Preparedness Plan, in the event of an emergency or disaster.

For 3 of 7 (Pt #2, Pt #4, Pt #6) patients, the Agency failed to ensure conformance with physician orders on the plan of care.

For 1 of 1 (Pt #2) home wound care visits, the Agency failed to ensure dressing changes were conducted in a manner to prevent transmission of infections and communicable diseases.

In 3 of 4 (Pt #1, Pt #2, Pt #3) patient records reviewed, whom received home health aide (HHA) services, the Agency failed to ensure a home health aide care plan was accurate and updated per policy.

For 3 of 3 (Pt #1, Pt #2, Pt #3) home visit patients, the Agency failed to ensure the patient, or the patient representative, was provided written notice of the Agency's transfer/discharge policy, within 4 business days of the initial evaluation visit.

For 2 of 3 (Pt #2, Pt #3) home visit patients, the Agency failed to ensure a medication review/reconciliation was conducted with each home visit; in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug…

For 2 of 3 (Pt #2, Pt #3) home visit patients, the Agency failed to ensure the initial and the updated plan(s) of care included all pertinent information to provide care and services.

In 2 of 2 ( Pt #2, Pt #3) patients records reviewed for verbal orders, the Agency failed to ensure verbal orders were "read back" and authenticated as per policy.

For 2 of 3 (Pt #2, Pt #3) home visit patients, the Agency failed to ensure the patient's home medication list was current and accurately reflected all medications names, dosages and frequencies.

In 4 of 7 (Pt #2, Pt #3, Pt #4 Pt #6) patients' records reviewed, the Agency failed to ensure patient clinical notes were completed and incorporated into clinical record in accordance with Agency policy.