Laabs Home Health Care

Agency staff (Registered Nurse) RN E failed to follow accepted standards of practice related to the use of standard precautions, to prevent the transmission of infections and communicable diseases, during 1 of 2 (Patients # 1) home visits observed.

Agency staff (Registered Nurse) RN E failed to comply with standard medication administration procedures in 1 of 2 (Patient #1) home visits observed.

The agency staff failed to ensure that a Quality Assessment and Performance Improvement program (QAPI) was developed and implemented in 1 of 1 QAPI program reviewed.

The agency staff failed to ensure their Emergency Plan was updated every 2 years in 1 of 1 Emergency Plan reviewed.

Agency staff failed to complete an all-hazards risk assessment for their agency in 1 of 1 Emergency Preparedness program reviewed.

The agency staff failed to ensure Emergency Preparedness Policies and Procedures were based on an agency risk assessment and reviewed every two years in 1 of 1 Emergency Preparedness Plan.

The agency's governing body failed to ensure that an ongoing program for performance improvement was implemented and maintained in 1 of 1 Quality Assurance and Performance Improvement (QAPI) plan.

This agency staff failed to develop interventions and goals that were individualized with measurable outcomes to meet patient needs in 7 of 7 patients (Patient #1, #2, #3, #4, #5, #6, and #7) in a sample of 7 records reviewed.

Staff failed to document a complete and accurate/ updated comprehensive nursing assessment OASIS after hospitalization/readmit in 1 of 10 medical records reviewed (Patient #1).

This agency failed to ensure all entries in the medical record were legible, dated and authenticated with the name and title of the person making the entry for 1 of 10 (patients #1) medical records reviewed.

Staff failed to assess and document patient response to interventions/treatment established on the patient's plan of care and failed to utilize appropriate forms when conducting Skilled Nursing Medication Management Visits in 1 of 10 records reviewed ( Patient #1).