Medi Home Health Agency

The home health agency failed to update the plan of care with current assessment data reflecting the patient's progress toward measurable outcomes obtained from the comprehensive assessment for 2 of 5 active patient records reviewed from the home health agency branch, (#5 and #8).

The home health agency failed to ensure the skilled nursing staff followed the accepted standards of practice, by performing an indwelling foley catheter removal and reinsertion without physician orders and without using sterile supplies for 1 of 3 sampled patients (#1).

The home health agencies policy and procedures and staff interviews the home health agency failed to ensure skilled nursing staff practiced according to the home health agency's polices and procedures for 1 of 3 sampled patients (#1).

The home health agency failed to ensure skilled nursing staff only provided services for an indwelling foley catheter that were ordered by the physician for 1 of 3 sampled patients (#1).

The home health agency failed to ensure skilled nursing staff promptly alerted the patient's physician to changes in the patient's condition for 1 of 3 sampled residents.

The agency failed to conform to physician orders related to visit frequency for 7 of 17 patients (#1, 8, 9, 10, 11, 13, 17).

The agency failed to provide evidence of an effective Quality Assurance Program related to record reviews.

The agency failed to follow standards of practice per agency policy to prevent the spread of infection during home visit for 1 of 6 patients visited.

The agency failed to ensure that Occupational Therapy (OT) and Skilled Nursing services were provided only as ordered by a physician for 2 of 17 patients (#1, #10).

The agency failed to alert the physician of the need to alter the plan of care regarding provision of services/visit frequency for 6 of 17 patients.

Agency professional nursing and therapy staff failed to provide services as indicated in the plan of care (POC) for 5 of 17 patients sampled (#8, 9, 11, 13 17).

The agency failed to ensure that onsite Home Health Aide (HHA) supervisory visits were made by a skilled professional no less frequently than every 14 days for 1 of 1 patients sampled who receive HHA services, #7. The findings are: Review of the clinical record for patient #7 revealed physician…