Lake Norman Home Health

The Plan of Care [POC] failed to include all medications the patient was using for 2 of 4 home visits [# 8 and 9]. The findings included: The policy, Plan of Care [POC] [9/1/24], was provided by the agency administrator on 10/16/24 at approximately 8:30 am.

Staff interviews the agency failed to change the infusion cap for 1 of 1 patient with a vascular assess device [medical device that provides access to a patient’s blood stream for administration of medications or obtain blood for lab work] [#5] in accordance with the physician's order; and failed…

The agency failed to provide home health aide supervision for 1 of 1 home health aide records reviewed [#7]. Findings included: Review of policy “Home Health Aide Supervision” revised 6/1/24 was received from the agency director on 10/16/24 at 8:35 AM.

Staff interviews the agency failed to obtain an order to flush a “clogged” G tube [gastrostomy] for 1 of 1 record with a G tube [#3]; failed to report pain levels outside the given parameters for 3 of 13 records reviewed [#3, 4, 9]; failed to change an indwelling catheter in accordance with the…

Staff interviews the Plan of Care [POC] failed to include all the current/correct medications the patient was using for 1 of 13 records reviewed [#1]; failed to include all pertinent diagnoses on for 2 of 13 records reviewed [#2, 8] The findings included: The policy, Plan of Care [POC] [revised…

Staff interviews the agency failed to communicate with the physician new skin breakdown was identified for 1 of 8 records with a wound [#2]; a report of possible drug diversion for 1 of 13 records [#3]; the patient was not taking pain medication in accordance with the Plan of Care [POC] for 1 of 13…