Kayland Health Services

The agency failed to ensure each patient received the home health services that were written in the patient's plan of care (G572).

The agency failed to ensure each patient received the home health services that were written in the patient's plan of care for one of three patients reviewed (Patient #3).

The agency failed to ensure a comprehensive assessment was completed within 48 hours of the patient's return home from a hospital admission of 24 hours or more for any reason other than diagnostic tests for one of one patient reviewed with a hospital discharge (Patient #3).

The agency failed to ensure services were provided only as ordered by the physician for one of three patients reviewed (Patient #3).

The agency failed to integrate all orders for all physicians or allowed practitioners involved in the plan of care to assure the coordination of all services and interventions provided to the patient for one of three patients reviewed (Patient #3).

The agency failed to ensure the patient, and his or her caregiver(s) receive ongoing education and training provided by the agency, as appropriate, regarding care and services for one of one patient reviewed with a peripherally inserted central catheter (PICC) line (Patient #3).

The agency did not document Home Health Aide supervision every 14 days as required.

The agency did not document Home Health Aide supervision for unskilled patients every 60 days with the HHA present as required this affected four of five patients reviewed (Patient #1, Patient #3, Patient #4 and Patient #5).

The agency failed to ensure each patient had a specific frequency of visits and /or duration for all services provided.

The registered nurse failed to document wound care as per policy.