Mercy Hospital Fort Smith

The Skilled Nurse (SN) failed to follow accepted professional standards for infection control in 2 (#3 and #4) of 7 (#1 - #7) home visits conducted.

The Skilled Nurse (SN) failed to include all medications during the review of the patients medications in 3 (#1, #7, and #13) of 17 (#1 - #17) Clinical Records reviewed.

The Agency Staff failed to ensure the patient's Plan of Care (POC) included the required elements of patient specific treatments, services, measurable outcomes and goals identified by the Home Health Agency (HHA) in 1 (#8) of 17 (#1 - #17) Clinical Records reviewed.

The Registered Nurse (RN) failed to notify the Physician when the updated Comprehensive Assessment indicated a change in condition in 2 (#5 and #6) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to have professional staff perform a Comprehensive Assessment update for a Patient with an unexpected change in condition in 1 (#8) of 17 (#1 - 17) Clinical Record reviewed.

The Skilled Nurse (SN) failed to follow the Attending Physician orders contained in the Plan of Care for 1 (#2) of 9 (#1 - #7, #11, and #15) Clinical Records reviewed with the provision of wound care.

The Skilled Nurse (SN) failed to follow accepted professional standards for infection control in 2 (#1 and #3) of 4 (#1, #3, #4, and #6) home visits conducted where the Patient was receiving wound care.

The Registered Nurse (RN) failed to ensure written instructions for the Aide services regarding the patients personal care activities were specific and individualized in 2 (#9 and #14) of 3 (#9, #12, and #14) Clinical Records reviewed with Aide services provided.