Mays Housecall Home Health of Durant

The agency failed to ensure an initial evaluation and/or SOC comprehensive assessment was conducted within 48 hours of referral for two (Patients #1 and #10) of 17 patients.

The agency failed to ensure individualized patient POC included physician reporting parameters for monitoring the patient’s ankle circumference were a part of the POC for one (Patient #6) of 17 patients.

The agency failed to ensure: 1. SN conduct weight monitoring assessments every visit and report weight gain or loss outside of reporting parameters for three (Patient #3, 6 and #12) of 17 patients.

The agency failed to ensure clinical visit notes were completed within 24 hours of the visit for two (Patients #7 and #9) of 17 patients.

The agency failed to ensure governing body appointment of an administrator and alternate administrator designee for the agency affecting 353 patients and all employees.

The agency failed to ensure SN visit notes showed documentation of interventions conducted and patient responses for two (Patients # 1 and #7) of 17 patients.

The agency failed to ensure a completed transfer and/or discharge summary was provided to the receiving service provider for (Patients #8, 14, 15 and #17) of 17 patients.

SN staff failed to provide services according to physician orders for three (#4, #5 and #6) of ten (#1 - #10) records reviewed.