Heartland Home Health

The Agency (HHA) failed to ensure that wound care services were administered in accordance with the Physician's orders and the plan of care in 2 records where wound care services were ordered, from a total of 17 sampled records reviewed (MR #3 and #15), resulting in the potential for delayed…

The Agency (HHA) failed to ensure the skilled nurse (SN) followed accepted Infection Control standards of practice during wound care for 1 of 1 patient requiring wound care treatment, from a total sample of 17 sampled records reviewed (MR #3), resulting in the potential for transmission of…

The Registered Nurse (RN) and the Occupational Therapist (OT) failed to ensure safety precautions were included on the home health aides written plan of care in 2 of 2 records where home health aide services were being provided, from a total of 17 records reviewed, (MR's #1 and 16), for a potential…

The Agency (HHA) failed to ensure the patient's right to privacy was protected in an undisclosed amount of unsecured medical records discovered during a branch site visit.

The physical therapist failed to complete the comprehensive assessment and document all of the immediate care and support needs of the patient for 2 of 3 start of care assessments completed by the physical therapist (M.R. #14 and 15), in a total sample of 17 records reviewed, for a potential of…

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 8 records…

The Home Health Agency failed to ensure the Plan of Care included safety measures, and blood sugar parameters to protect against injury, and any other pertinent information in 7 of 17 records reviewed (M.R.#s 7, 8, 9, 12, 14, 15, 16, 4, and 5) out of a total of 17 records reviewed, resulting in a…

The agency (HHA) failed to ensure that nursing services were administered in accordance with the physician's orders and the plan of care (POC) in 2 of 2 record with required wound care services, from a total of 17 records reviewed (MR #3 and #15) resulting in the potential for decline in health…

The Agency (HHA) failed to provide teaching and education for 1 of 1 patient with a diagnosis of insulin dependent diabetes mellitus and elevated blood glucose levels, from a total of 17 sampled records reviewed (MR #4), resulting in the potential for unidentified health concerns, unmet care needs…

The Agency (HHA) failed to ensure the physician was promptly notified of the patient's elevated blood glucose levels and elevated pain levels, for 1 patient who was insulin dependent and had a diagnosis of chronic pain (MR #4) and 1 of 2 patient's with untreated Stage II Pressure Wounds (MR #15)…

The Physical Therapist (PT) failed to supervise the services provided by the home health aide, in the patient's home, no less frequently than every 14 days for 1 of 2 records where Home Health Aide services were being provided, from a total of 17 records reviewed, (MR's #16) resulting in the…

The Home Health Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals, and forwarded to the physician in 5 of 5 closed discharged records, from a total of 17 records reviewed (MR #16, 1, 2, 9…