HH Agency of Lake Charles Memo

The agency failed to conduct an exercise at least annually to test the emergency plan.

The home health agency failed to ensure the patient's written individualized POC (Plan Of Care) was followed as evidenced by the SN (Skilled Nurse) failing to ensure the patient’s blood glucose (sugar) testing was being performed by the patient/caregiver to ensure results were within parameters for…

The agency failed to ensure the individualized plan of care included: 1. Orders for the skilled nurse to monitor/obtain weights for a patient who was admitted with Heart Disease and Heart Failure (#2, #10, #12) and; 2. Failing to perform diabetic foot assessments and provide diabetic education for…

The agency’s staff failed to ensure patient’s physician responded timely to communications of concerns identified during skilled nurse visits for 1 (#13) out of 13 sampled patients.

The agency failed to ensure the patient's written individualized plan of care was followed as evidenced by: 1. No evidence found for Patient #15 of a skilled visit made for the week of 2/14/2021 and; 2. No evidence found for Patient #8 that the skilled nurse monitored the blood sugar levels during…

The agency failed to ensure the patient's comprehensive assessment included the patient's medical needs as evidenced by no orders found on the plan of care (POC) for 2 (Patient #8 and #12) with the diagnosis of Congestive Heart Failure for the skilled nurse to monitor the patient's weight, to…

The agency failed to ensure the individualized plan of care included parameters for the reporting of abnormal blood glucose readings and changes in weights for Patient #8 and Patient #12 out of a total of 17 sampled patients.

The agency failed to ensure patient #10's physician was promptly alerted by the skilled nurse that bloody urine was draining from his nephrostomy tube from 4/29/2021 to 5/3/2021, which was 4 days for 1 (#10) out of 17 sampled patients.

The agency failed to provide evidence of coordination with the physician concerning new finding of 3 plus pitting edema to the patient's left foot for 1 (patient #1) out of 17 sampled patients.

The agency's Visit Note Reports failed to have documented evidence the skilled nurse preformed a diabetic foot inspection during the skilled visit on 2 (Patient #8 and Patient #12's) patients out of a total of 17 sampled patients.

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by: a) the agency failed to provide documentation of a physical therapy visit for patient #1, b) the agency failed to provide documentation of skilled nurse visits for patient #3 c) the…

The agency's staff failed to ensure they communicated changes found during the home visits to the patient's physician for 2 (#5 and #7) out of a total sample of 17 sampled patients.

The agency failed to ensure the SN (skilled nurse) provided services as ordered by the physician as indicated in the plan of care as evidenced by the SN failing to provide documentation that monthly foley catheter change being done as ordered for 1 (#3) out of 17 sampled patients.