Ingegrity Home Care, Inc

The physical therapy assistant (PTA) failed to follow accepted standards of practice/infection control measures during a home visit observation for one (Record/Patient #2) of three home visits.

The agency failed to ensure the patient/caregiver was fully informed about the care to be furnished and the disciplines needed to provide care when home health aide services failed to be offered, in one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure the patient was advised of the extent to which payment for services may be expected from Medicare regarding home health aide services in one (Record/Patient #3) of five full records reviewed.

The agency failed to ensure an accurate medication reconciliation was completed in, but not limited to, one (Record/Patient #2) of five records reviewed.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all the required items, in two (Record/Patient #1 and #2) of five full records reviewed.This deficient practice has the potential to affect the accurate care of all the agency's patients.

The agency failed to ensure each patient received written information related to visit schedule/instructions, in two of three applicable cases (Records/Patients #1 and #3).

The agency failed to ensure each patient received written information related to the name and contact information of the home health agency's clinical director (manager) in one (Record/Patient #1) of three applicable cases.

The agency failed to assure that skilled clinicians provided complete and accurate clinical notes/assessments for one (Record/Patient #1) of five records reviewed.

The agency failed to assure that agency clinicians effectively communicated with all physicians or other health care practitioners related to the patient's current plan of care (POC) in but not limited to one (Record/Patient #1) of five records reviewed.

The agency failed to provide/send a completed transfer summary to the responsible physician and/or the hospital to which the patient was admitted within two business days of the patient's transfer in two (Record/Patient # 1 and #6) of seven records reviewed.

The agency failed to ensure effective communication related to the current plan of care.