Intermountain Home Care of Cassia

The agency failed to ensure patients received all services written in the POC for 1 of 8 patients (Patient #2) whose records were reviewed.

The agency failed to ensure complaints were investigated and resolved for 1 of 8 patients (Patient #2) whose records were reviewed.

The agency failed to ensure the physician reviewed all medications to address significant drug interactions for 1 of 8 patients (Patient #4) whose records were reviewed.

The agency failed to ensure POCs were complete for 2 of 8 patients (Patients #3 and #7) whose records were reviewed.

The agency failed to ensure services were administered only as ordered by a physician for 1 of 8 patients (Patient #4) whose records were reviewed.

The agency failed to ensure care and treatments followed the patients' POCs, POCs were individualized and included all pertinent items, verbal orders were written and authenticated by the physician, physicians were alerted to discharge plans and changes in patient conditions and treatments, care…

The agency failed to ensure skilled professional services performed ongoing interdisciplinary assessments, patient and caregiver education was provided, clinical notes were prepared, complete, and accurate, and therapy staff were effectively supervised.

The agency failed to ensure encoded OASIS data accurately reflected patients' status at the time of the assessment for 2 of 10 patients (#4 and #10) whose records were reviewed.

The agency failed to ensure the comprehensive assessment was accurate for 1 of 4 patients (Patient #1) whose care was observed and whose records were reviewed.

Patient #1's medical record included a POC, dated 4/01/19, which stated: - "Evaluate stability of blood glucose levels..." - "Teach how to check and monitor blood glucose level" Patient #1's medical record included an SN ROC comprehensive assessment, dated 4/01/19, signed by the RNCM, which stated…

She confirmed the ER visits were not tracked as adverse events.

The agency failed to identify, prevent, control, and investigate infections and failed to ensure its Infection Control Program was an integral part of the agency's QAPI program.

The agency failed to ensure the local agency administrator's contact information was provided to receive complaints.

The agency failed to ensure patients were advised of charges they may have to pay for home health services.

The agency failed to ensure patients were provided with written notice 2 days in advance of the agency's intention to terminate services for 1 of 3 (Patient #6) discharged Medicare patients whose records were reviewed.

The agency failed to ensure the patient's primary care practitioner was notified in advance that a discharge for cause was being considered for 1 of 1 patient (Patient #4) who was discharged for cause and whose record was reviewed.

The agency failed to ensure patients were provided contact information for other agencies or providers who may be able to provide care for 1 of 1 patient (Patient #4) who was discharged for cause and whose record was reviewed.

The agency failed to ensure a comprehensive assessment was completed within 5 days of SOC for 1 of 2 patients (Patient #10) who received ST services and whose records were reviewed.

The agency failed to ensure medications were reviewed and reconciled for 2 of 2 patients (#2 and #7) whose care was observed during RN visits, and 2 of 7 patients (#8 and #11) whose records were reviewed without home visits.

The agency failed to ensure POCs were individualized and included all pertinent information, including diagnoses, supplies, equipment, medications, goals, interventions, and safety measures for 6 of 10 patients (#1, #2, #4, #6, #10, and #11) whose records were reviewed.

The agency failed to ensure wound treatments were administered as ordered for 1 of 5 patients (Patient #2) who had wound care orders and whose records were reviewed.

The agency failed to ensure verbal orders were put in writing and sent to physicians for authentication for 2 of 10 patients (#8 and #10) whose records were reviewed.

The agency did not alert Patient #10 of her declining condition and admission to the hospital.

The agency failed to ensure discharge plans were communicated to the physician for 1 of 1 patient (Patient #4) who was discharged for cause and whose record was reviewed.

The agency failed to ensure the responsible physician was notified of a medication ordered by a consulting physician for 1 of 1 patients (Patient #11) who was ordered medication from a consulting physician and whose record was reviewed.

The agency failed to ensure integration of services related to patient safety and care for 1 of 1 patient (Patient #4) who had potential abuse/neglect and whose record was reviewed.

She reviewed Patient #11's record and confirmed there was no documentation of coordination of care related to the OT visit on 4/09/19. The Occupational Therapist did not coordinate Patient #11's care delivery.

The agency failed to ensure a written medication schedule was provided to the patient for 1 of 3 admitted patients (Patient #2) who received home visits by the surveyor and whose records were reviewed.

The agency failed to ensure written wound care instructions were provided to the patient for 1 of 1 patient (Patient #2) whose wound care was observed by the surveyor and whose record was reviewed.

The note did not include a pain assessment.

The agency failed to ensure patient and caregiver education was provided related to safety precautions with use of a compression wrap for 1 of 1 patient (Patient #2) whose wound care was observed and whose record was reviewed.

The agency failed to ensure clinical notes were prepared, complete, and accurate for 4 of 10 patients (#2, #4, #6, and #8) whose records were reviewed.

The agency failed to ensure services provided by the PTA were effectively supervised by a Physical Therapist for 1 of 4 patients (Patient #4) who received services by a PTA and whose records were reviewed.

The agency failed to ensure a discharge summary was sent to the primary physician within 5 business days for 1 of 1 patient (Patient #4) who was discharged for cause and whose record was reviewed.