Medical Home Care Professionals

This agency failed to ensure two of 17 sampled patients (Patient 6, and Patient 13), were assessed by a registered nurse within 48-hours of their referral for home health care, and notify the physician when there was a delayed in their start of care (admission to agency).

The agency failed to obtain verbal or written physician orders for Plans of Care for one out of 17 sampled patients, (Patient 6) in a timely manner after the patients were admitted for home health services.

The facility failed to ensure infection control practices (prevention of the spread of infection) were followed for two out of 17 patients (Patient 11, and Patient 12) when: 1. Licensed Vocational Nurse (LVN) H did not disinfect vital sign equipment (blood pressure cuff, thermometer, pulse…

The agency failed to review and document all medications in the home for two out of 17 patients, (Patients 10, and Patient 11) during the initial assessment to include in the clinical record and for the physician to review for interactions.

The agency failed to include all treatments, pertinent diagnoses, and psychosocial status as relevant to the plan of care for three out of 17 sampled patients, (Patients 8, Patient 10, and Patient 16).

The agency failed to provide care that meet the needs for one out of 17 sampled patients (Patient 2) when: 1. The agency accepted a patient onto services when agency staff did not have the skills (the ability to do something competently) or competencies (the knowledge, skills, and ability to…

The agency did not ensure that they followed one of 17 sampled patients (Patient 6) plan of care (physician's orders).

The agency failed to ensure the initial assessment visit was conducted within 48-hours after the referral, for one of 17 patients (Patient 1).

The facility failed to ensure that two of 17 sampled patients (Patients 6 and 7) had an accurate, and updated medication profile.

The facility failed to ensure eight of 17 sampled patient's (Patients 3, 6, 7, 10, 12, 14, 15, and 16) had complete and accurate individualized plans of care (physician's orders), in order to meet their medical needs.

The facility failed to ensure one of 17 sampled patients (Patient 13), had a complete and integrated listing of all medication orders from all physicians involved in the plan of care.

This agency failed to ensure that nursing documentation was completed and entered into the record in a timely fashion for one of 17 sampled patients (Patient 10).

The agency failed to ensure it provided home health aide services in accordance with the plan of care (POC) for one of 17 sampled patients (Patient 2).