Magna Home Health Care, Inc

The agency failed to ensure: 1. SN frequencies were followed as ordered for three (Patients #4, 6, and 7) of seven patients; 2. SN notified the physician of diastolic blood pressure levels outside the ordered parameters for one (Patient #2) of seven patients.

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure occupational therapy services were followed as ordered for one (Patient #1) of seven patients.

The agency failed to ensure a patient centered QAPI Program for all patients and employees.

The agency failed to ensure utilization of QAPI data to improve program effectiveness, quality of patient care and overall program improvement.

The agency failed to ensure the initiation and review of a PIP through their QAPI Program for 38 patients and all employees.

The agency failed to ensure medication embedded wound care supplies were included in the review of medications for potential/adverse effects, drug reactions, side effects, interactions and duplicate drug therapy for one (Patient #7) of seven patients.

The agency failed to ensure an individualized plan of care was fully developed for reporting of pain in relation to the disease process for one (Patient #6) of seven patients.

The agency failed to ensure improvement activities were identified and focused on high risk problem-prone areas for 38 current patients.

The agency failed to ensure a patient centered QAPI Program which measured and tracked agency performance strategies to ensure improvements were sustained for all patients and employees.

The agency failed to ensure clinical notes were included in the clinical record for one (Patient #7) of seven patients.

The agency failed to provide interventions regarding a change in urinary status for one (Patient #5) of seven patients.

The agency failed to ensure physician notification of missed visits for two (Pt #1 and 7) of seven patients.