Horizon Home Care and Hospice

The agency failed to develop individualized and/or measurable Plan of Care (POC) goals to meet the needs of the patient in 7 of 17 patient records reviewed (Patient #2, #3, #5, #6, #7, #10 and #11).

The agency Registered Nurse (RN) failed to supervise the Home Health Aide (HHA) no less than every 14 days in 1 of 2 patients (Patient #10) receiving HHA services in a total of 17 patient records reviewed.

The agency staff failed to notify the primary care provider with a change in condition in 1 of 3 patients (patient #1) with wound care in a sample of 10 records reviewed.

The staff failed to ensure that the physician orders on the patient Plan of Care were followed in 5 of 10 patient records reviewed.

The agency failed to include all medications on the patients plan of care in 1 of 10 (#1) patient records reviewed.

The home health agency staff failed to notify the physician of any changes in the patient's condition to modify the plan of care in 1 out of 10 patient records reviewed.

The agency staff failed to notify the physician a change in the plan of care occurred in 1 out 10 patient records reviewed.