Medi Home Health Agency

The agency failed to ensure that the individualized plan of care included appropriate bleeding precautions/interventions/goals for 13 of 13 patients being at risk for bleeding due to anticoagulant or antiplatelet therapy (#2, 3, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, &19); Failed to include…

The RN failed to capture the use of Percocet as an opioid.

The agency failed to maintain an accurate medication list for 3 of 5 patients with home visits conducted (patients #15, 16 &17).

The clinical record failed to evidence of a discharge summary that was sent to the physician within 5 days for 3 of 5 discharged records [1, 2, and 5]. The findings included: The policy, Discharge, Transfer, and Referral of Patients [last revised 07/2025] was received by the agency administrator on…

Staff interviews the agency failed to follow physician’s orders for visit frequencies for 3 of 17 patients [#2, 8, 15]. The findings included: The policy, Managing Physician Orders HME019C [1/2023], was provided by the director of professional services on 3/15/23 at 8:20 am.

Direct observation and staff interviews the physical therapist failed to follow accepted standards of practice [failure to place bag on a barrier] during 1 of 7 home visits [#11]. The findings included: The policy, Bag Technique HH4020 [12/2022], was provided by the director of professional…

The agency failed to include shoulder precautions on the aide care plan for 1 of 2 patients receiving aide services [#10]; failed to include specific type of bath patient should receive for1 of 2 patients receiving aide services [#10]. The findings included: 1A.

The agency failed to include all medications on the plan of care for 4 of 7 home visits (#12,16,17,and 11) failed to have the psychosocial status for 5 of 18 records reviewed (#7,6,11,13, and 14) failed to include weight bearing restrictions for 1 of 17 records reviewed (#10), and failed to include…

Staff interviews the agency failed to document notifying the physician of a vital sign outside of parameters for 1 of 17 records reviewed (#9) and failed to notify the physician for a new onset of shortness of breath for 1 of 7 patients receiving a home visit (#15).

Staff interviews the speech therapist failed to communicate with the physician related to a medication for 1 of 2 patient receiving speech therapy services [#8]; failed to communicate the possible need for a follow up BNP [B-Type Natriuretic Peptide-blood work used to help diagnosis congestive…

Staff interviews the SN [skilled nurse] failed to provide services/treatments ordered by the physician for 1 of 1 patient with a PICC [peripherally inserted central catheter] [#11]; and failed to provide wound care as ordered by the physician for 1 of 5 patients with a wound [#13]; The findings…

The agency failed to include missed visit notes in the clinical record for 1 of 4 discharged charts [#4]. The findings included: Patient # 4 had a Start of Care date of 3/25/22 and an admitting diagnosis of pressure ulcer of left ankle, stage 3 [full thickness of the skin]. Review of the Plan of…

The agency failed to provide Home Health Aide services as ordered for 1 of 6 patients (Patient #13) receiving Home Health Aide Services.

Staff interviews the agency failed to provide ongoing evaluation of the plan of care by failing to measure wounds in accordance with agency policy for 2 of 11 patients with a wound [#20 and 24]; and failed to obtain central line [a catheter inserted in a large vein and often used to administer…

Staff interviews the agency failed to follow the plan of care in relation to wound care orders for 3 of 11 patients with a wound [#20, 21 and 1]; failed to obtain weights in accrodance with the plan of care for 1 of 1 patients [#9]; failed to obtain lab work in accordance with the plan of care for…

The home health aide failed to follow the Plan of Care for 1 of 4 patients with a home health aide assigned (#9).