Horizons Home Care Inc

The agency failed to ensure standard infection control precautions were followed for cleaning equipment after use for 6 of 7 home visit observations (Patient 8, 9, 10, 11, 12, 13) Findings include: 1. A revised 8/2017 policy titled Description of Services, Occupational Therapist, Physical…

The home health aide failed to appropriately assess for a radial or apical pulse for 1 of 1 home health aide observations.

The Registered Nurse failed to update the aide plan of care for 1 of 1 home health aide observations.

The agency failed to provide an assignment of insurance benefits, & patient's financial responsibility to the patient for 1 of 6 home visits with records reviewed.

The agency failed to provide written or verbal notice to the patient/ representative of terminating on-going care for 1 of 5 closed records reviewed.

The agency failed to assist the family in choosing another entity for patient discharge for 1 of 5 closed record reviews.

The Registered Nurse (RN) failed to ensure contents of the comprehensive assessment was accurate for 1 of 17 records reviewed.

The agency failed to ensure patient allergies were listed on the Medication Profile for 1 of 17 records reviewed.

The agency failed to list all DME (durable medical equipment) on the plan of care for 3 of 7 home visit observations (Patients 4, 5, 8) and failed to list patient allergies on the plan of care for 1 of 17 records reviewed.

The agency failed to coordinate delivery of care with the patient representative and the hospital for 1 of 5 closed record reviews.

The agency failed to ensure all tasks ordered by the physician and assigned to the home health aide were performed as written on the Home Health Aide Plan of Care for 1 of 2 home health aide visit observations (Patient 5); and 2 of 5 home health aide record reviews.

The home health aide failed to inform the registered nurse about changes in the patient needs for 1 of 1 home health aide observations.

The agency failed to ensure a discharge summary was completed and sent to the physician within 5 business days of the patient's discharge for 1 of 5 closed records reviewed.