Hca Healthone Healthcare at Home

The agency failed to ensure services and treatments were provided in accordance with physician's orders for 1 of 5 patients receiving wound care (Patient #8).

The agency failed to provide services and treatments only as ordered by the physician for 1 of 5 patients with wounds (Patients #8) and 1 of 2 patients with a Foley catheter (Patient #9) Findings Include: AGENCY POLICY: According to the agency policy titled "Coordination of Services with other…

The agency failed to ensure all nursing interventions, treatments and services provided to patients were accurately and completely documented and included within the clinical record fo 1 of 2 patients with a Foley catheter (Patient #2).

The agency failed to ensure each patient received home health services in accordance with a written plan of care established and periodically reviewed by a physician.

The agency failed to ensure the clinicians followed the physician orders for 3 of 5 patient records reviewed (Patients #1, #3, and #4).

The agency failed to ensure the Registered Nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral, or within 48 hours of the patient's return home for 2 of 5 clinical records reviewed (Patients #4 and #5).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 3 of 5 patient records reviewed (Patients, #1, #2, and #4).

The agency failed to ensure services and treatments were provided in conformance with physician orders for 1 of 3 patients reviewed that received occupational therapy (OT) services (Patient #2).

The agency failed to ensure services and treatments were provided in conformance with physician orders for 1 of 2 patients where certified nurse aide (CNA) services were ordered (Patient #9).

The agency failed to ensure an initial assessment was completed within 48 hours of the referral for 1 of 8 patients who started services within 60 days (Patient #14).

The agency failed to ensure ongoing interdisciplinary assessment occurred by the Registered Nurse (RN) who failed to re-evaluate the nursing needs for 1 of 10 patients reviewed, who were receiving skilled nursing services (Patient #10).