Madison Healthcare Group

The Home Health Agency (HHA) failed to provide written information to patient and family member the care and services identified in the plan of care (POC) for two of seven sampled patients (Patient 1 and Patient 5).

The Home Health Agency (HHA) failed to ensure the responsible party was informed in advance of the care and treatment as specified in the plan of care for one of seven patients (Patient 5).

The Home Health Agency (HHA) failed to update and reconcile three of seven sampled patients (Patient 1, Patient 4, and Patient 5) medications.

The Home Health Agency (HHA) failed to complete the nursing reassessment for one of seven sampled patients (Patient 1) within the time frame.

The Home Health Agency (HHA) failed to ensure the physician reviewed, signed, and dated the orders given for three of seven sampled patients (Patient 3, Patient 6, and Patient 7).

The Home Health Agency (HHA) failed to ensure doctor’s orders were entered in the medical record on the same day it was received, for two of seven sampled patients (Patient 3 and Patient 7).

The Home Health Agency (HHA) failed to ensure the discharge summary was sent to the doctor for two of seven sampled patients (Patient 3 and Patient 7).

The home health agency (HHA) staff failed to ensure the written plan of care (POC) was followed, by not elevating a patient's head during feeding via gastrostomy (GT- surgical creation of an opening into the stomach) for one of 7 sampled patients (Patient 1).

The Home Health Agency (HHA) failed to communicate with all the physicians and all appropriate team members regarding a patient's fluid intake for one of 7 sampled patients (3).

The home health agency (HHA) nursing staff failed to counseling the patient's family member to ensure the expired gastrostomy (GT- surgical creation of an opening into the stomach) formula was removed and not be used for one of 7 sampled patients (3).