Medical Services of America Home Health

The Home Health Agency (HHA) staff failed to follow standard precautions to prevent the spread of infection by failing to perform hand hygiene when doffing gloves, switching gloves between contaminated areas, using poor barrier technique, using poor bag technique, and sanitizing used equipment for…

The Home Health Agency (HHA) failed to provide proper written notice in advance of discharge for 2 of 5 records reviewed for discharge (Patients #9 and #10).

The home health agency failed to provide assessments within 48 hours of physician orders for Start of Care (SOC) or Resumption of Care (ROC) for 4 out of 17 patients (Patient #2, #4, #16 and #17).

The home health agency (HHA) failed to ensure the patient medication lists were updated and accurate for 3 of 7 home visits reviewed for medications (Patients #2, #3, #4 and #7).

The Home Health Agency (HHA) failed to provide a full comprehensive assessment of the patients psycho-social status for 2 out of 17 patients (Patient #13 and #17).

The Home Health Agency (HHA) failed to obtain physician orders for Skilled Nurse (SN) visits for 1 of 17 patients (Patient #15).

The agency staff failed to document wound measurements in three out of four patients with wounds (Patient #11, #12, and #17).

The agency staff failed to obtain wound care orders prior to performing wound care in one out of four patients with wounds reviewed (Patient #17).

The Home Health Agency staff failed to follow physician orders such as missed visits, services, and consults for 5 of 17 patient charts reviewed for care and services.

The Home Health Agency (HHA) staff failed to document wound measurements when completing the initial nursing assessment for one of four patients with wounds (Patient #8) and failed to document wound measurements for multiple visits with Patient #12. Patient 12 On 09/01/ at 12:45 PM, the review of…

The agency staff failed to document the notification to the Physician (missed visits, blood pressure outside of range specified, and consults/services) in 8 out of 17 records reviewed (Patient #5, #6, #7, #8, #9, #10, #11, and #15).

The home health agency failed to ensure the patient's plan of care set up by the Registered Nurse (RN) and approved by the physician was followed related to missed visits with documentation of notification to the patient's physician for 11 of 17 patient records reviewed for care and services.

The home health agency failed to ensure its staff followed accepted principles of infection control in the provision of patient care for 4 of 7 staff [Physical Therapist (PT) 1 , Registered Nurse 1 (RN), Physical Therapy Assistant (PTA) 1, and Licensed Practical Nurse (LPN) 1] who failed to perform…

The home health agency failed to ensure the home health aide (HHA) plan of care developed by the Registered Nurse (RN) contained specific duties related to the individual patient's needs for 2 of 2 patients with HHA services.

The home health agency failed to ensure medication reconciliation of the patient's home medications with the agency medication list for 7 of 7 patients.

The home health agency failed to ensure the coordination of care for 1 of 17 patient records reviewed for care and services.

The home health agency failed to ensure supervisory visits by the Registered Nurse (RN) were completed every fourteen days for one of two patients receiving home health aide(HHA) services.