Lutheran Home Care Agency

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The Agency failed to ensure the patient's Activities of Daily Living needs were adequately met in the patient's home for 2 of 3 patients (MR#s 1 and 5) assessed as needing assistance with ADLs of a total of 13 sampled records reviewed, resulting in potential for poor hygiene, psychological decline…

The agency failed to inform the patient with contact information for other agencies or providers who may be able to provide care after the patient signed the (Notice of Medicare Provider Non-Coverage) in 1 of 13 sampled records reviewed (MR# 4), resulting in the patient not having resources to…

The agency failed to ensure the comprehensive assessments included an assessment of patient identified strengths, goals, and care preferences in 7 of 13 records reviewed (MR#s 7, 8, 9, 10, 11, 12, and 13) out of a total sample of 13 records, which resulted in the potential for less than optimal…

The Agency failed to ensure the patient's Activities of Daily Living needs were adequately met in the patient's home for 2 of 3 patients (MR#s 1 and 5) assessed as needing assistance with ADLs of a total of 13 sampled records reviewed, resulting in potential for poor hygiene, psychological decline…

The Agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects, duplicate drug therapy, or noncompliance in 1 record (MR#1), from a total of 13 sampled records reviewed, resulting in the potential for harmful medication effects or…

The agency failed to ensure the plan of care included all pertinent intervention, objectively measurable goals, and functional limitations for 9 of 13 records reviewed (MR#s 1, 2, 3, 4, 5, 6, 8, 10, and 12), resulting in patients not receiving care specific to their individual needs, failure to…

The agency failed to ensure the physician was promptly notified of the patient's elevated blood glucose levels and non-compliance with ordered services in 2 records reviewed (MR#s 3 and 4) from a total of 13 sampled records reviewed.

The Agency failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, in 1 of 4 discharged records (MR#10), from a total of 13 records reviewed, resulting in the potential for unidentified continuing health care concerns and unmet…