Lady of the Sea Home Health Agency

The agency failed to ensure a patient’s medication profile was complete and accurate for 1 (Patient #3) of 3 sampled patients reviewed for medication reconciliation.

The agency failed to ensure medication orders contained the medication dose, frequency, route, and purpose as required by standards of practice for 1 (Patient #1) of 7 sampled patients reviewed for care and services.

The facility failed to ensure: 1.) Proper hand hygiene was performed by a nurse during wound care after removing dirty gloves and prior to donning clean gloves for 1 (Patient #2) of 3 patients sampled for home visits and; 2.) Proper cleaning and disinfecting of reusable patient vital sign equipment…

The agency failed to reconcile medications at every skilled nurse visit to maintain an accurate record of medications taken by patients.

The agency failed to notify the physician of changes in a patient’s condition.

The agency failed to report to the patient's physician: 1. A patient's fall (Patient #2); 2. A patient's temperature which was outside of the parameters set by the physician (Patient #5); and, 3. A patient's low capillary blood glucose level and the patient feeling faint (Patient #6).

The agency failed to: 1. Ensure the home health aide (HHA) did not trim a diabetic patient's toenails per the plan of care for 1 of 2 patients receiving HHA services (Patient #3); 2. Ensure the skilled nurse obtained oxygen saturation levels per the plan of care for 2 of 7 patients (Patient #4 and…