Hca Midwest Healthcare at Home

The agency failed to provide an individualized, written plan of care specifying the care and services that met the requirements for the Condition of Participation: Care Planning, coordination of services and quality of care.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements in, but not limited to, two (Records/Patients #1 and #4) of four records reviewed.

The agency failed to ensure drugs, treatments and services were administered only as ordered by the physician in two (Records/Patients #1 and #2) of four records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in, but not limited to, one (Record/Patient #1) of four records reviewed.

The agency failed to provide written notice regarding the patient's financial obligation in, but not limited to, three (Record/Patient #3, #4, and #7) of 17 records reviewed . This deficient practice has the potential to affect all patients served by the agency.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in, but not limited to, two (Records/Patients #1 and #12) of 17 records reviewed and failed to ensure the registered nurse (RN) reviewed the patient's medications at the start of care…

The agency failed to ensure staff developed a complete plan of care (POC) in, but not limited to, two (Record/Patient #4 and #8) of 17 records reviewed.

The agency failed to alert the physician to changes in the patient's condition or needs that may suggest that the plan of care (POC) should be altered in, but not limited to, one (Record/Patient #12) of 17 records reviewed.

The agency failed to ensure each patient received updated/current written instructions related to the patient's medication schedule in, but not limited to, two (Record/Patient #1 and #6) of seven home visit observations.

The agency failed to ensure care was provided and patients received care/services as ordered by the physician in, but not limited to, three (Record/Patient #5, #10 and #11) of 17 records reviewed.

The agency failed to request and obtain results of findings of the Employee Disqualification List (EDL) prior to hire and the Family Care Safety Registry (FCSR) prior to patient contact for three employee (Employee #2, #3, and #4) of four personnel files.