Interstaff, Inc

The home health provider failed to ensure the patient received home health services as ordered by the physician and written in an individualized plan of care, in one of five full records reviewed (Record/Patient #5).

The home health provider failed to follow accepted standards of practice in one of three home visits completed (Record/Patient #1).

The home health provider failed to ensure all entries into the medical record were legible, clear, and complete in, but not limited to, one of five full record reviewed (Record/Patient #1).

The home health provider failed to ensure a Registered Nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral in one of five records reviewed (Record/Patient #1).

The provider failed to complete a review of all of the medications the patient was taking in one of three home visits completed (Record/Patient #1).

The home health provider failed to include all patient care orders on the plan of care in one of five full records reviewed (Record/Patient #3).

The home health provider failed to ensure the medication schedule/instructions were placed in the patient's home in one of three home visits conducted (Record/Patient #1).

The home health provider failed to ensure the home folder contained a list of treatments to be administered by home health personnel in one of three home visits conducted (Record/Patient #1).

The agency failed to ensure staff were provided emergency preparedness training during orientation for three (EMPLOYEE #1, #2, and #3) of three employee records reviewed.

The agency failed to provide each patient with an individualized plan of care that was established by the physician in, but not limited to, one (Record/Patient #4) of five records reviewed.

The agency failed to ensure staff followed infection control standards of practice in two (Record/Patient #1 and #2) of three home visit observations.

The agency failed to ensure staff were provided infection control training during orientation and annually for two (Employee #1 and #3) of three employee files reviewed.

The agency failed to complete the initial assessment of the patient within 48 hours of the referral to home care, or 48 hours after the patient's return home, or on the physician ordered start of care date in two (Patient/Record #1 and #3) of five records reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient's medications was completed in two (Records/Patients #1 and #3) of three home visit observations performed.

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).

Agency failed to ensure that the home health aide/certified nurse's aide (CNA) provided services that were ordered by the physician, and included in the plan of care (POC) for one (Record/Patient #1) of three records with CNA services reviewed.

The agency failed to ensure staff received Alzheimer's training during orientation for one (Employee #3) of three employee files reviewed.

The agency failed to ensure a completed comprehensive discharge summary was sent to the primary care physician or other professional who would be responsible for providing care and services to the patient after discharge from the agency/services within five business days of the patient's discharge…