Hancock County Health System Community Health

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 2 of 3 sampled patients with home observation visits (Patients #1 and #3).

The agency failed to provide services only as ordered by the physician for 1 of 7 sampled patients (Patient #4).

The agency failed to ensure a registered nurse, or other appropriate skilled professionals in consultation with a registered nurse as appropriate, performed direct observation of a home health aide's performance of all required health aide skills on a home health patient to determine satisfactory…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 3 of 6 sampled patients receiving home health aide services (Patients #1 #3, and #6).

The agency failed to complete a drug regimen review within the required time frames as part of the comprehensive assessments for 7 of 7 sampled patients (Patient #1, #2, #3, #4, #5, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 3 of 3 sampled patients with surveyor home visit observation(Patients #1, #2 and #3).

The update to the comprehensive assessment, completed at resumption of care, dated 9/13/19, lacked documentation of an individualized emergency/disaster plan assessment for the patient. b.

The hospice failed to ensure the development of a procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to have a written policy and procedure for the use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure authentication of hand written entries made in each patient's clinical record included the employee's signature, title, date and time of the signature for 2 of 2 sampled patients receiving home health aide services (Patients #4 and #7).

The agency failed to ensure agency staff advised the patient of the extent to which payment for agency services may be expected and the charges for services that may not be covered from Medicare, Medicaid, or any other federally-funded or federal aide program known to the agency and the charges the…

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 3 of 7 sampled patients (Patients #2, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 5 of 7 sampled patients (Patients #1, #2, #3, #5 and #7).

The agency failed to update the Plan of Care with new physician orders for 5 of 7 sampled patients (Patients #3, #4, #5, #6 and #7) with interim physician orders.

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 6 of 7 sampled patients (Patients #1, #2, #4, #5, #6 and #7).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 2 sampled patients receiving home health aide services (Patient…

The agency failed to ensure the patient's clinical record included documentation of all nursing visits and interventions provided by the agency for 3 of 7 sampled patients (Patient #1, #2 and #7).

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 2 of 3 sampled patients (Patients #2…