Home Care Services of Haywood Regional Medical Center

The agency failed to include all medications on the plan of care for 1 of 4 home visits conducted (14).

The agency failed to include all vital signs as ordered for 1 of 5 discharged records reviewed (4).

Staff interview the agency failed to provide home health aide services as ordered on the plan of care for 1 of 2 home health aide records reviewed (#20), and failed to provide skilled nursing services as ordered on the plan of care for 1 of 15 nursing records reviewed (#18).

Staff interview the clinical record failed to include PICC (peripherally inserted central catheter) line measurements for 1 of 2 records reviewed with a PICC line (#10).

Staff interviews the agency failed to follow the physician's order related to wound vac therapy (type of wound care which uses negative pressure) for 1 of 1 patients with a wound vac (#1); and to obtain a urinalysis for 1 of 2 patients that had a urinalysis ordered (#2).