Kaiser Foundation Hospital Home Health - Hayward

The agency failed to ensure a blood draw (procedure of taking blood from a vein for laboratory testing) was performed per physician’s order.

The agency failed to ensure the wound assessments included the current pressure ulcer (bedsore) stage of development.

The home health agency did not notify the physician of changes in condition for one of 17 sampled patients (Patient 8) and three of seven randomly sampled patients (Patients 21, 22, and 23).

The agency failed to provide caregiver education and written instructions regarding pressure ulcer (injuries to skin and underlying tissue resulting from prolonged pressure on the skin) management for one (Patient 7) of 17 sampled patients, when Caregiver (CG) 1 did not receive training regarding…

The agency's licensed nursing staff did not accurately document the condition of one of 17 sampled patients (Patient 9) and two of seven randomly sampled patients (Patient 20 and 23).