Louisa County Phns

The agency failed to ensure the home health aides successfully completed competencies in home health aide skills that exceed basic skills, which require a registered nurse, or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the aide by…

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60-day certification period for 1 of 6 sampled patients requiring a recertification assessment (Patient #6).

The agency failed to ensure accurate completion of all components comprising the Plan of Care (POC), including all medical supplies/equipment, all medications, and treatments used by the patient for 3 of 7 sampled patients (Patients #1, #2 and #7).

The agency failed to provide agency patients with the Clinical Manager name, business address and business phone number.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patient…

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 1 of 3 sampled patients (Patient #3) with a home visit observation.

The agency failed to update the Plan of Care with healthcare practitioner orders obtained during a 60 day certification period for 4 of 7 sampled patients (Patients #1, #4, #6 and #7).

The agency failed to provide medication lists to the patient/caregiver that included medication name, dosage, frequency, administration times for 1 of 3 sampled patients with home visit observations (Patient #1).

The agency failed to have a written policy and procedure that individual emergency preparedness plans for each patient must be included as part of the comprehensive patient assessment and a copy of the individualized emergency preparedness plan to be kept in the patient's file as well as a copy…

The agency failed to complete a written emergency preparedness plan that included procedures to inform state and local emergency preparedness officials of homebound patients in need of evacuation.

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to provide individualized and specific written patient care instructions from a registered nurse to agency home health aides for 1 of 2 sampled patients receiving home health aide services (Patient #3).

The agency failed to ensure all documentation in the clinical record included a date, time, staff signature and staff title for 6 of 7 sampled patients (Patients #2, #3, #4, #5, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all medications, medical equipment and supplies used by the patient for 3 of 3 sampled patients with home visit observations (Patients #1, #2 and #3).

The agency failed to update the Plan of Care with all new physician orders for 5 of 5 sampled patients with interim physician orders.

The agency failed to provide services only as ordered by the physician for 2 of 7 sampled patients (Patients #5 and #7).

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 1 of 2 sampled patients requiring a…