Home Care Services of Boone Co

The home health agency failed to ensure all clinical documentation was completed in a timely manner for 3 of 7 sampled patients (Patients #2, #3 and #5).

The agency failed to provide a complete comprehensive assessment for patients with wounds during start of care, recertifications, resumption of care and discharge assessments for 4 of 4 sampled patients with wounds (Patients #1, #5, #6 and #7).

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 2 of 3 sampled patients with home observation visits (Patients #1 and #3).

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies/equipment and all medications and treatments used by the patient for 3 of 7 sampled patients (Patients #2, #4 and #5).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 6 sampled patients receiving home health aide services…

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 2 of 6 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patients #2 and #6).

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency with assigned tasks…

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients with a home visit observation (Patient #1).

The agency failed to ensure staff fully completed an update to the comprehensive assessment which included assessment information on the patient's current health status for 1 of 2 sampled patients with an update to the comprehensive assessment at the time of discharge (Patients #6).

The agency failed to complete a drug regimen review identifying all duplicate drug therapy as part of the comprehensive assessment at the required timepoints for 3 of 7 sampled patients (Patient #3, Patient #4, and Patient #5).

The agency failed to ensure agency staff accurately completed all of the components comprising the Plan of Care for 4 of 7 sampled patients (Patients #1, #2, #3 and #5).

The agency staff failed to provide care and treatments only as ordered by the physician for 2 of 7 sampled patients (Patients #2 and #3).

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients (Patient #3).

The agency failed to provide individualized and specific written patient care instructions from a registered nurse to agency home health aides for 2 of 3 sampled patients receiving home health aide services (Patients #3 and #5).

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 5 of 8 sampled patients (Patients #2, #3, #5, #6 and #7).

The facility failed to accurately complete a drug regimen review, including completion of all required components within the required time frames as part of the comprehensive assessment for 3 of 8 records reviewed (Patients #1, #4 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care and/ or failed to ensure the Plan of Care contained current, accurate information for 5 of 8 sampled patients (Patients #1, #3, #5, #7 and #8).

The agency failed to update the working Plan of Care with all new physician orders for 4 of 4 sampled active patients with interim physician orders.

The agency failed to ensure skilled professionals provided care as ordered by the physician in the Plan of Care for 3 of 8 sampled patients (Patients #3, #5 and #6).

The agency failed to ensure the patient's clinical record included accurate, complete and current documentation of interventions related to assessments, treatments and services for 4 of 8 sampled patients (Patients #2, #3, #5 and #7).