Lhc Homecare of South Alabama

The agency failed to ensure agency policy and procedure for infection prevention were followed.

The agency failed to ensure wounds were assessed and measured per agency policy.

The agency failed to ensure wound care education with return demonstration was provided.

The agency staff failed to document conformance with physician orders for the following: 1. Insertion of Peripheral Intravenous (IV) catheter.

The agency failed to ensure staff reconciled medications in 2 of 5 Home Visits (HV) conducted, including HV # 2, HV # 5, and had the potential to negatively affect all patients receiving services by this agency.

The agency failed to ensure physician verbal orders were written and submitted to the ordering physician for signature.

The agency staff failed to notify the physician with changes in: 1. Wound measurements 2. Daily weights 3. Capillary Blood Glucose (CBG) outside of ordered parameters This deficient practice affected 1 of 4 MR's reviewed with wounds, including Home Visit (HV) # 4, and HV # 1, 1 of 2 MRs reviewed…

The agency staff failed to document Wound VAC (negative-pressure wound therapy vacuum assisted closure) wound filler dressing per agency procedure.

The agency failed to ensure medical record documentation was complete and accurate with exact wound care provided.

The agency staff failed to perform patient's visit as scheduled and/ or attempt to do re-schedule missed visit and to refer the patient/ caregiver to the medical social worker for assistance.

The agency failed to ensure the Skilled Nurse (SN) included patient input when establishing the patient's pain goals in the Plan of Care (POC) to meet the needs of the patient.

The agency failed to ensure the Registered Nurse (RN) notified the physician of change in patient's condition.