Livingston Healthcare Home Health and Hospice

The agency failed to follow their established policies and procedures and ensure all verbal orders were authenticated and dated by the physician or allowed practitioner for 7 (#s 1, 2, 3, 4, 7, 8 and 9) of 9 sampled patients.

The agency failed to ensure staff completed a current list of medications and failed to ensure there was an updated list of medications on the plan of care for 1 (#6) of 7 sampled patients.

The agency failed to ensure all medications and treatments were included and revised on the POC for 2 (#s 2 and 4) of 7 sampled patients.

The agency failed to ensure all physician orders were included on the plan of care for 1 (#3) of 7 sampled patients.

The agency failed to ensure a skilled nurse whom provided home visits maintained a current CPR certification.

The agency failed to ensure oxygen was included in the medication list on the POC for 2 (#s 2 and 7); and failed to ensure the diuretic, Lasix, was in the medication list on the POC for 1 (#5) of 8 sampled patients.

The agency failed to update the POC (485) when therapy services were added during the patient's certification period for 1 (#4); and failed to remove catheter management from the POC (485) when treatments were discontinued for 1 (#5) of 8 sampled patients.

The agency failed to ensure expired patient care supplies were not available for use for all patients in the agency.