Hillcrest Home Care

The agency failed to ensure 1 of 7 staff (Staff I), observed during the provision of care for 1 of 7 patients (Patient 6), performed proper hand hygiene and bag technique, according to the agency's policies and procedures.

The agency failed to ensure the patient's medication orders on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medications), were accurate, for 6 of 17 patient records reviewed (Patient 1, 4, 7, 9, 17, and 18).

The agency failed to notify the physician when the agency staff were unable to complete Skilled Nursing (SN) and or Home Health Aide (HHA) services according to the frequency ordered on the physician approved plan of care for 5 of 17 clinical records reviewed (Patient 1, 2, 10, 11, and 15).

Staff interview the agency failed to ensure Physical Therapy (PT) and/or Occupation Therapy (OT) performed a comprehensive assessment in a timely manner unless a delay was requested by the patient or the patient’s physician for 4 of 17 clinical records reviewed (Patient 9, 10, 11, and 17).

The agency failed to provide Home Health Aide (HHA) services as written on the on the plan of care for 1 of 6 patients records reviewed (Patient 11) whose plan of care included HHA services.

The agency failed to ensure the Skilled Nurse (SN) maintained infection control practices during a negative pressure wound therapy (NPWT) dressing change (a procedure for applying an occlusive dressing to a wound and attaching it to suction to aid in wound healing) for 1 of 2 patients observed…

The agency failed to ensure the revised patient plan of care included services for patient needs identified in the resumption of care comprehensive assessment for 1of 3 patient records reviewed (Patient 9), who had a resumption of services.

The agency failed to conduct an on-site visit by a Registered Nurse (RN) every 14 days to ensure the patient's plan of care was followed for 1 of 6 patient records reviewed (Patient 6) who received both Home Health Aide (HHA) and skilled services.