Medical Services of America Home Health - Coastal

The HHA failed to show evidence of emergency officials contact information for all counties serviced.

The home health agency (HHA) staff failed to follow the physician orders regarding visit schedules for 4 of 17 patient charts reviewed.

The Registered Nurse (RN) failed to provide specific individualized instructions in the Certified Nurse Assistant (CNA) for 4 of 4 applicable patient charts.

The Skilled Nursing (SN) staff failed to ensure an accurate list of the patient's medications in the initial patient assessment for 5 of 6 applicable patients.

The home health staff failed to obtain physician orders for treatments and visits provided to 5 of 17 patients (Patient #6, #7, #9, #10 and #11).

The home health agency failed to provide documentation for a process of cooperation and collaboration with local, tribal, regional, State and Federal emergency preparedness official's efforts to maintain an integrated response during a disaster or emergency situation for each county that the home…

The home health agency failed to provide documentation for Emergency Preparedness planning with contact information to collaborate with local, tribal, regional, State and Federal emergency preparedness official's efforts to maintain an integrated response during a disaster or emergency situation…

The home health agency (HHA) failed to provide a list of alternate contact information of Federal, State, tribal, regional and local emergency agencies for each county that the HHA is licensed to serve for the means of communication in an emergency for two of ten counties.

The Home Health Agency (HHA)failed to update and revise the patient's Plan of Care (POC) as frequently as the patient's condition warrants due to major decline or improvement in the patient's health status for two of seventeen patients.

The home health agency failed to ensure that the patients received the home health services that are written in the patient's individualized plan of care (POC) to identify patient-specific measurable outcomes and goals for 6 of 17 patient charts reviewed for care and services (Patient 3, 6, 11, 12…

The home health agency failed to ensure that the home health staff followed accepted principles for infection control to prevent the potential transmission of infectious agents in the home setting for four of seven patients observed.

The Home Health Agency(HHA) failed to provide documentation that the patient gave consent for care in advance of and during treatment for three of seventeen patient charts reviewed.

The Home Health Agency failed to provide the hospice patient with an initial nursing assessment within 48 hours of the referral for one of seventeen patient charts reviewed for care and services.

The Home Health Agency(HHA) failed to complete an accurate comprehensive assessment to assist the home health agency in developing the patient's plan of care for two of seventeen patient charts reviewed.

The Home Health Agency failed to provide an accurate clinical record of the patient's prescription and non-prescription medications and to check for possible side effects and drug interactions by a Registered Nurse (RN) in therapy only cases for five of seventeen patient.

The home health agency failed to ensure that services and treatments were administered only as ordered by a physician for one of seventeen patients.

The home health agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or the plan of care should be altered for two of seventeen patient charts.(Patient 6 and 12) The findings are: Patient 6…

The home health agency failed to ensure accurate clinical assessments for wound care to show documentation in measurable outcomes when preparing clinical notes for three of seventeen patient charts reviewed for care and services.

The home health agency failed to provide that nursing services were provided under the supervision of a registered nurse for one of seventeen patient charts.