Hcmh Home Care

The agency failed to ensure infection control practices were upheld for hand hygiene for 1 of 2 home visits with a Registered Nurse (RN) providing care.

The agency failed to ensure the plan of care was individualized and included all the durable medical equipment (DME) the patient used in the home for 2 of 9 active records reviewed.

The agency failed to notify the physician of changes to the patient’s care for 2 of 4 active records reviewed with no home visit.

The Agency failed to send a completed discharge summary to the health care facilities providing care after discharge from the agency in 3 of 4 discharge records reviewed.

The Registered Nurse (RN) failed to ensure the comprehensive assessment contained a complete review of the patient’s medications and medication lists were accurately maintained for 1 of 5 records reviewed (#1).

The administrator failed to ensure the agency developed policies and procedure for the use of volunteers as part of the emergency preparedness plan for 1 of 1 agency.

The administrator failed to ensure the agency maintained documentation of emergency preparedness training that demonstrated staff knowledge of emergency procedures for 1 of 1 agency.

The physical therapist failed to follow the agency policy for bag technique in the home.

The agency failed to follow the agency's policy to include a description of the patient's risk for emergency department visits and hospital re-admissions and all necessary interventions to address the underlying risk factors on the plans of care for 8 of 13 clinical records reviewed.

The nurse failed to prepare clinical notes to describe the procedure and the patient's response for lab venipuncture (Patient's 5 and 11) for 2 of 2 patient's with labs ordered and failed to include documentation of wound care and assessment (Patient #5) for 1 of 4 patients with wounds in a sample…

The RN (Registered Nurse) failed to provide LPN (Licensed Practical Nurse) supervisory visits every 30 days according to agency policy for 4 of 10 patient's receiving LPN services.

The Home Health Aide (HHA) failed to provide services that was consistent with HHA training for 1 of 1 HHA home visit observation.

The agency failed to ensure the alternate administrator and alternate clinical manager were authorized in writing and approved by the governing body for 1 of 1 agency.