Home Care of Trmc

The agency Skilled Nurse (SN) failed to comply with physician orders on the Plan Of Care (POC) in the monitoring of patient with blood glucose monitoring one out of two patients with blood glucose monitoring (Patient #8).

The Skilled Nurse (SN) failed to obtain parameters of blood glucose levels to report to the physician on the Plan Of Care (POC) in one out of two patients with blood glucose monitoring (Patient #2).

The home health agency failed to ensure the patient's plan of care developed by the Registered Nurse (RN) and approved by the physician was followed for measurement of weights and reporting patient weight loss for three of thirteen patient records (Patient 2, 9, and 10) reviewed for care and…

The home health; agency failed to ensure the Home Health Aide (HHA) plan of care developed by the Registered Nurse (RN) contained specific duties related to the individual patient's needs for 3 of 3 patients with Aide services.

The home health agency failed to obtain the date that the patient or caregiver signed the consent to treat form for five of thirteen patient records reviewed.

The home health agency's Registered Nurse (RN) failed to perform the patient's initial nursing assessment within 48 hours of the referral date for two of the thirteen patient charts reviewed for care and services.

The home health agency failed to ensure medication reconciliation of the patient's home medications with the home health agency's medication list for 4 of 4 patient home visits.

The home health agency failed to coordinate care for services for four of thirteen patient charts reviewed for care and services related to the Home Health Aide's (HHA) plan of care, HHA supervisory visits, and communicating with the physician.

The home health agency failed to ensure supervisory visits by the Registered Nurse (RN) was completed every fourteen days for one of three patients receiving home health aide services.