Interim Healthcare of the Upstate

The nursing staff failed to develop an individualized Plan of Care (POC) for 2 of 17 patient charts reviewed for care plans.

The Home Health Agency (HHA) failed to ensure its staff documented patient weights and reported abnormal vital signs for 3 of 17 patient charts reviewed for care and services.

The Home Health Agency (HHA) staff failed to follow accepted principles for infection control during the provision of patient care for cleaning equipment used during the visit to prevent potential cross transmission of infectious agents in the home care setting for 2 of 3 home visits with 1 of 1…

The Home Health Agency failed to ensure its staff document assessment data , provided an individualized Plan of Care (POC), and notified the physician of the patient's abnormal data for 4 of 17 patient charts reviewed for care and services.

The Home Health Agency (HHA) failed to provide documentation that patient medication profiles were reconciled by a registered nurse for 3 of 3 patient records reviewed where documentation showed the patient's Start of Care (SOC) was performed by a physical therapist.

The Home Health Agency (HHA) failed to obtain physician signatures in a timely manner for the patient's Plan of Care (POC) and failed to provide documentation of complete physician orders concerning wound care, urinary catheter care, and tube Nutritional supplements for 4 of 17 patient charts…

The Home Health Agency (HHA) failed to ensure its staff notified the physician when changes in the patient condition was identified for 2 of 17 patient charts reviewed for care and services.

The Home Health Agency failed to provide a Plan of Care (POC) with the patient's nutritional information and conflicting blood glucose values to notify the physician for 2 of 17 patient charts reviewed for care and services.

The Home Health Agency (HHA) failed to ensure physician ordered services were completed for 5 of 17 patient charts reviewed for care and services.

The Home Health Agency (HHA) failed to ensure ongoing, accurate documentation of patient assessments by the HHA's skilled staff for 6 of 17 patient charts reviewed for care and services.