Good Shepherd Home Health Care

The agency failed to ensure medication regimen review, and reconciliation of medications, was completed to ensure the medications on the plan of care (POC) were available, and were set up as ordered by the provider, for 1 of 3 (P3) patients observed during the home care visits.

The agency failed to secure physician orders for 1 of 1 resident, (P3), who was observed for medication management.

The agency failed to complete a comprehensive medication review during a home visit to ensure medication profiles were accurate for 1 of 3 patients (P5) observed during home visits.

The agency failed to ensure communication with the physician for 1 of 7 clients (P5) when a missed visit occurred.

The agency failed to complete an initial comprehensive assessment, drug regimen review and reassessments every 60 days for 3 of 3 non-skilled patients (P2, P13 and P14), and 1 of 1 skilled patient (P1) reviewed whom received Veterans Administration (VA) benefit.

The home health agency failed to ensure skilled nursing and/or home health aide visits were provided according to the plan of care (POC) for 4 of 14 patients (P1, P2, P9, and P10) who required home care services.

The agency failed to ensure orders for physical therapy (PT) including specific modalities and treatments were obtained from the physician for 1 of 5 patients (P10) reviewed who received PT services.

The agency failed to complete an initial comprehensive assessment at the start of care (SOC) for 3 of 3 non-skilled patients (P2, P13 and P14), and for 1 of 1 patient (P1) who received skilled Veterans Affair benefit in the sample and required an initial comprehensive assessment.

The agency failed to ensure a comprehensive drug regimen review was completed every 60 days with the comprehensive assessment to ensure there were no potential adverse side effects or drug interaction for 2 of 2 non-skilled patients ( P2, P13) receiving home care services greater than 60 days.

The agency failed to complete a comprehensive reassessment of patient needs for 2 of 2 patients (P2 and P13) who were non-skilled, and for 1 of 1 patients (P1) who was skilled and receiving payments from Veterans Affairs (VA).