Interim Healthcare - Collinsville

The agency failed to ensure patients were informed about and consented to the frequency of proposed visits in advance of starting care for four (4) of seven (7) patients in the survey sample (Clinical record Patient #'s: 2, 4, 6 and 7).

The agency's staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) of two (2) clinical records that required an SASH (method used to maintain patency of a PICC line) flush to a PICC (tube in the vein of arm used to deliver…

The agency's Emergency Preparedness Plan (EPP) failed to contain documentation of agency staff demonstrating their knowledge of emergency procedures.

The agency failed to ensure each patient's care followed the physician's orders on the plan of care for one (1) out of seven (7) clinical records in the survey sample (Clinical record # 6).

The agency failed to ensure all patients' individualized plans of care included all medications in two (2) of seven (7) clinical records reviewed in the survey sample.

The agency failed to send the patient's transfer summary to the physician within 2 business days of becoming aware of an unplanned transfer for three (3) of three (3) patients who were transfered and their clinical records were reviewed in the survey sample.

The agency failed to provide written notice to Medicare patients in advance of terminating on-going care in two (2) of two (2) closed clinical records for Medicare patients that were reviewed in the survey sample.

The agency failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for one (1) of one (1) closed clinical records admitted on or after 01/13/2018 reviewed in the survey sample.

Agency staff failed to provide the patient and/or caregiver with a copy of written instructions within 5 days of completion of the comprehensive assessment outlining the following: Patient medication schedule/instruction, including medication name, dosage, and frequency and which medications will…

The agency failed to ensure drugs, services, and treatments were administered only as ordered by a physician for four (4) of ten (10) clinical records reviewed in the survey sample.