Medi Home Health and Hospice

Staff interviews the SN [skilled nurse] failed to ensure the nursing bag was closed after removing equipment for the visit for 3 of 6 home visits #6, 7, and 10]; and failed to perform hand hygiene for 2 of 6 patients who received home visits [# 7 and 10]; and failed to place wound care supplies on…

Staff interviews the SN [skilled nurse] failed to initial/weekly wound measurements for 2 of 4 patients with a wound [ #1 and 6]; and failed to place wound care supplies on a barrier for 1 of 3 home visits receiving wound care [#7]; and failed to use an unused syringe/needle when transferring a…

Staff interviews the agency failed to obtain orders for wound care for 3 of 4 patients with a wound [#1, 7 and 10]. The findings included: 3. Patient #10 had a start of care date of 04/12/2024 with admitting diagnoses of pressure ulcer (damage to an area of the skin caused by constant pressure on…

Staff interview the agency failed to provide accurate home health aide supervision for 1 of 3 home health aide records reviewed (#8).

The agency failed to follow the Plan of Care [POC] related to notifying the physician for an oxygen saturation outside the given parameters for 1 of 7 patients who received a home visit [#5]; failed to obtain lab work in accordance with the POC for 1 of 17 records reviewed [#9]; failed to conduct…

Staff interview the RN failed to change gloves between multiple wounds for 1 of 4 virtual wound care observations (#7).

The plan of care failed to include all medications the patient was using for 6 of 17 records [#1, 2, 7, 3, 6, 14 ]; failed to include complete blood sugar parameters [when to notify the physician] for 7 of 17 records [# 2, 7, 3, 4, 11, 12, 14 ]; failed to include all pertinent diagnoses on the plan…

The agency failed to obtain an order for home health aide services for 1 of 1 records with a SCIC [Significant Change in Condition] completed [#5]. The findings included Patient # 5 had a Start of Care [SOC] date of 11/21/21 and an admitting diagnosis of chronic pain.

Staff interviews the agency failed to communicate with the physician a missed visit for 1 of 17 records [#1];failed to notify the physician when no medical social work visit was made in accordance with physician’s order for 1 of 3 patients with an order for social work services [#7]; failed to…

The home health aide care plan failed to include frequency of the assigned tasks for 4 of 5 records with home health aide orders [# 5, 10, 3, 11] The findings included: 3. Patient #3 was admitted on 12/23/21 with diagnoses of chronic myeloproliferative disease and type 2 diabetes with chronic…

Staff interviews the clinical record failed to include weekly wound measurements for 2 of 12 charts with a wound [# 2 and 9]. The findings included: The policy, Wound Care Standards [8/2021], was provided by the clinical manager on 1/12/22 at approximately 2 pm.

Patient/caregiver interviews and staff interviews the comprehensive assessment failed to include all medications the patient was using at the time of admission for 2 of 5 patients who received home visits [#13 and 16]. The findings included: The policy titled Medication Safety dated December 2015…

The agency failed to coordinate care with the physician for a patient who had a change in condition for 1 of 1 sampled patients who used the on-call service with complaints of weakness and dizziness [#4]. Findings included: Patient # 4 had a Start of Care [SOC] date of 12/23/17 and diagnoses of…