Metro Home Care, Inc

The agency staff failed to ensure peripherally inserted central catheter (PICC) dialysis port site was assessed as indicated in the written plan of care (POC) that was established by the physician for one of 7 sampled patients (1).

The home health agency (HHA) staff failed to review all medications and update the medication profile with currently used medications for one of 7 sample patients (Patient 1).

The agency staff failed to ensure the plan of care (POC) included management of fluid intake for a patient who receives dialysis (procedure that performs the functions of the kidneys in people whose kidneys failed) treatment for one of 7 sampled patients (1).

The home health agency failed to ensure the skilled nurse (SN) monitored side effects of psychotropic medications including orthostatic hypotension [physical finding defined as a systolic blood pressure decrease of at least 20 millimeter mercury (mm Hg) or a diastolic blood pressure decrease of at…

The facility failed to inform the physician for 2 of 7 patients (Patients 6 and 7) not receiving the therapeutic diets prescribed by the HHA physician.