Mary Washington Home Health Agency

The agency failed to provide safe care as ordered by a physician.

The Governing Body and/or Administrator failed to ensure the overall management and organization of resources in order to attain and provide the highest practicable functional status.

Agency staff failed to follow the plan of care as ordered by physician for four (4) out of 17 patients whose clinical records were reviewed in the survey sample (Clinical records #'s: 1, 3, 5 and 16).

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases.

The agency failed to ensure each patient was advised in advance of providing care the extent to which payment for HHA (home health agency) services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, the charges for services that may not…

The agency failed to provide a Home Health Change of Care Notice (HHCCN) to a Medicare patient in advance of reducing/discontinuing services for one (1) of one (1) clinical record's in the survey sample for which a HHCCN was applicable (Clinical record: #3).

Agency staff failed to ensure a plan of care contained the specific location of a surgical wound for wound care that was ordered by the physician.

The agency failed to ensure the physician was promptly notified of changes in the patient's condition that indicated desired outcomes were not being met or that changes were needed in the plan of care.

The agency failed to provide coordination of care for three (3) of 17 patients whose clinical records were reviewed in the survey process (Clinical records #'s 1, 9 and 10).

The agency's staff failed to document care coordination for three (3) of nine (9) patients in the survey sample who experienced uncontrolled pain (Clinical record #s 1, 9 and 10).

Agency staff failed to ensure that each patient's needs were continually assessed for three (3) of nine (9) patients whose clinical records were reviewed in the survey sample and who experienced uncontrolled pain (Clinical record #s 1, 9 and 10).

The agency failed to ensure that each patients' plan of care was implemented and updated as required in five (5) of (17) clinical records reviewed in the survey sample (Clinical record #s 1, 2, 3, 5 and 16).

The home health agency failed to provide services in accordance with current clinical practice guidelines and accepted professional standards of practice in three (3) of (17) clinical records in the survey sample (Clinical record#s: 2, 7 and 17).

The agency failed to ensure the home health aide provided services according to the plan of care in three (3) of three (3) applicable medical records reviewed in the survey sample.

The agency failed to ensure supervision of the home health aide by the registered nurse or other skilled professional every 14 days in one (1) of three (3) applicable medical records reviewed in the survey sample.