Liberty Home Care

Staff interviews the agency failed to track and analyze adverse patient events for 2 of 2 patients that experienced falls.

Staff interviews the agency failed to maintain clean equipment and dispose of a contaminated would dressing for 1 of 7 patients with conducted home visits (Patient #17) and the agency's home health aide failed to perform hand hygiene after glove removal for 1 of 1 home health aide visits observed…

Staff interview the agency failed to notify a patient/representative that a discharge from occupational therapy for cause (uncooperative for care) was being considered and failed to make efforts to resolve the problem for 1 of 1 patient that was discharged for cause.

Staff interviews the agency failed to without delay, report neglect of 1 of 1 patient living in an unsafe environment.

The agency failed to maintain an accurate medication profile for 1 of 7 home visits conducted (Patient #12).

Staff interviews the agency failed to provide an on-going interdisciplinary assessment for 1 of 5 discharged patient.

The agency failed to follow the Plan of Care related to oxygen orders for 2 of 17 charts [# 12 and 1 ]. The findings included: 2. Patient #1 was admitted on 6/18/21 with diagnoses of atherosclerotic heart disease, hypertensive heart disease, and chronic diastolic congestive heart failure.

Patients and caregivers the Plan of Care failed to include all current/correct medications for 5 of 7 charts who had virtual visits [#5, 6, 8, 3 and 10]. The findings included: 5. Patient #3 was admitted on 7/27/21 with a diagnosis of a urinary tract infection and was receiving IV antibiotics.

The agency failed to obtain an order for Epson Salt Soaks for 1 of 7 patients who received a virtual visit [#5]. The findings included: Patient # 5 had a Start of Care [SOC] date of 7/21/21 and an admitting diagnosis of unspecified intracap. fracture of right femur.

The agency failed to notify the physician of changes in the patient's condition for 2 of 17 charts [# 1 and 16]. The findings included: 2. Patient #1 was admitted on 6/18/21 with diagnoses of atherosclerotic heart disease, hypertensive heart disease, and chronic diastolic congestive heart failure.

The clinical record failed to include PICC [peripherally inserted central catheter] line measurements for 1 of 1 charts with a PICC line [#2]. The findings included: Patient # 2 had a Start of Care [SOC] date of 6/24/21 with an admitting diagnosis of Type 2 diabetes mellitus with specified…