Mercy Home Health

The agency failed to ensure a POC was developed within 5 calendar days of the SOC visit for one (Pt #8) of seventeen patients.

The agency failed to ensure the POC addressed ongoing appointments at a wound care clinic weekly for one (Pt #7) of seventeen patients.

The agency failed to ensure: 1) Orders were obtained to discontinue catheter care for one (Pt #4) of seventeen patients. 2) A current POC was provided to the Assisted Living Center for one (Pt #12) of three patients who resided in an assisted living center.

The agency failed to ensure completion of a discharge summary for one (Patient #13) of 17 patients.

The agency failed to ensure governing body oversite of: 1. A patient centered QAPI Program; 2. Agency program evaluation for calendar years 2021 and 2022 and; 3. An operating budget and allocation of resources activities for calendar years 2021 and 2022 for all patients and staff.

The agency failed to ensure an advance notice of discharge was provided prior to being discharged from the agency for three (Patients #2, 13 and #16) of 17 patients.

The agency failed to educate the patient on potential health outcomes related to refusal of care and services prior to agency discharge for three (Patients #13, 15 and #16) of 17 patients.

The agency failed to notify the physician of patient's behaviors that impeded the HHA from providing care and services and to inform the physician of the patient’s imminent discharge from the agency for cause for three (Patients #13, 15 #16) of 17 patients.

The agency failed to ensure a SOC assessment was conducted within 48 hours of referral for one (Patient #7) of 17 patients.

The agency failed to ensure care was coordinated between the agency and physician for one (Patient #6) of 17 patients.

The agency failed to ensure services were provided as ordered for: 1. SN visit frequency as ordered by the physician for three (Patients #2, 5 and #10) of 17 patients and; 2. OT to conduct evaluation as ordered for one (Patient #6) of 17 patients.

The agency failed to ensure SN visit notes were completed for one (Patients #4) of 17 patients.

The agency failed to ensure a completed discharge summary was provided for two (Patients #14 and #17) of 17 patients.

The agency failed to ensure the initial assessment was performed within 48 hours of the referral for two (Pts #8 and 12) of 17 patients.

The agency failed to develop an individualized plan of care at the resumption of care visit for one (Patients #10) of 17 patients.

The agency failed to ensure: 1) Physician notification of pain exceeding the established pain parameter was followed as ordered for four (Pt #7, 9, 13 and 14) of 17 patients and; 2) Physician notification of vital signs outside the established parameters was followed as ordered for three (Pt #1, 7…

The agency failed to ensure physician notification of a missed visits for six (Pt #5, 7, 9, 10, 12 and 17) of 17 patients.

The agency failed to ensure development of an individualized plan of care to include patient specific interventions and parameters for patient diagnosis for one (Pt #13) of 17 patients.

The agency failed to obtain a physician's order for a MSW for one (Pt #7) of 17 patients.

The agency failed to ensure accurate documentation of SN visit notes were completed for one (Pt #4) of 17 patients.

The agency failed to ensure a home health aide supervisory visit was completed every 14 days for one (Pt #9) of 17 patients with HHA services.