Liberty Home Care LLC

The skilled nurse failed to measure the PICC [peripherally inserted central catheter- is a thin, flexible tube inserted into a vein in the upper arm and threaded into a larger vein near the heart] line measurements for 1 of 1 patient with a PICC line [#2]; and failed to obtain wound…

Staff interviews the agency failed to make efforts to resolve the problem presented by the patient's behavior prior to discharging for cause for 1 of 1 patient discharged for cause [#2]. The findings included: The policy, Discharge and Transfer of Patients [01/2025], was provided by the agency…

The skilled nurse failed to obtain labs in accordance with the physician's order for 1 of 1 patient with VAD [vascular access device-medical device inserted into a blood vessel to provide long term access for administration of medication, etc.] [#2]; and failed to obtain weekly weights for 1 of 1…

Staff interviews the skilled nurse educated the patient to apply topical creme without a physician's order for 1 of 4 patients with a wound [#6]. The findings included: Patient # 6 had a Start of Care [SOC] date of 1/18/25 with an admitting diagnosis of pressure ulcer of left buttock, stage 2…

Staff interviews the skilled nurse failed to individualize interventions by not removing information that was not applicable from the interventions template for 2 of 2 patients with nursing orders who received home visits.

Staff interviews the agency failed to follow the Plan of Care [POC] related to dressing changes for 3 of 7 records with a wound [#16, 6, and 13]; failed to follow the POC related to PICC [peripherally inserted central catheter] line measurements for 1 of 1 records with a PICC line (#16); failed to…

Staff interviews the Plan of Care [POC] failed to include all medications the patient was using at the time of admission for 1 of 2 records with a PICC [peripherally inserted central catheter] line [#5]. Findings include: Patient # 5 had a Start of Care [SOC] date of 1/24/22 and an admitting…

The agency failed to notify the physician of changes in patient’s condition for 5 of 17 patients (#6, 7, 13, 15, and 12); and to advise the physician the patient was dosed with wife’s insulin for 1 of 5 records with diabetes [#16] Findings include: 5. Patient # 12 had a Start of Care [SOC] date of…

The agency failed to conduct comprehensive wound assessments for 5 of 7 patients with wounds (#6, 7, 8, 9 and 16).

Staff interview the agency failed to follow up on a phone call from the patient/caregiver for 1 of 1 patients that required a follow-up phone call (#13).

Staff interviews the agency failed to complete a transfer summary [transfer from home health to in-patient hospital stay] for 2 of 4 discharged records #5 and 11).