Moore Home Health Care Inc

The agency failed to ensure infection prevention practices were adhered to while providing services to patients, in 1 of 3 home visits observed.

The agency failed to ensure comprehensive assessments accurately reflected patients' health status for 3 of 7 active clinical records reviewed.

The agency failed to include all durable medical equipment (DME) in use in 1of 5 clinical records (Patient #2) and failed to evidence complete treatment/wound orders/medication order in 2 of 3 wound care patients (Patients #3 and #5).

The agency failed to ensure all orders were recorded on the Plan of Care in 1 of 3 clinical records reviewed with ordered wound care.

The home health agency failed to ensure each patient had an individualized emergency preparedness plan for 5 of 7 clinical records reviewed.

The home health agency failed to ensure the plan of care was revised to include changes and to reflect the patient’s current clinical information for 1 of 1 clinical record reviewed where wound care was provided.

The home health agency failed to ensure every employee practiced standard precautions and hand hygiene during patient care to prevent the spread of infectious or communicable diseases for 1 of 1 clinical record where a home visit was conducted with a home health aide.

The home health agency failed to ensure each patient had a care plan created specific to duties and tasks assigned to the home health aide (HHA) for 1 of 1 closed clinical records reviewed where home health aide services were provided.

The home health agency failed to appoint a qualified alternate clinical manager to act in the absence of the clinical manager.

The home health agency failed to ensure the plan of care was individualized to include all pertinent information including discipline services and medication instructions for every patient for 4 of 7 clinical records reviewed.

The home health agency failed to ensure each patient was provided with a current, individualized schedule for 2 of 3 clinical records reviewed where a home visit was conducted.

The home health agency failed to ensure each patient was provided with a current individualized plan of treatment for 3 of 3 clinical records reviewed where a home visit was conducted.

The home health agency failed to ensure all pertinent information was provided to each patient including a home health aide care plan, for 1 of 2 clinical records reviewed with home health aide services.

The home health agency failed to ensure all tasks were completed as assigned to the home heath aide on the aide care plan for 2 of 5 active clinical records reviewed where home health aide services were provided.

The home health agency failed to ensure there was a qualified alternate appointed in writing by the governing body to act in the administrator’s absence.

The home health agency failed to ensure the clinical record contained all required information including interventions and patient response for 2 of 4 active clinical records reviewed where home health aide provided services.

The home health agency failed to ensure a discharge summary was completed to include, but not be limited to, discharge instructions, services provided, and laboratory data for 2 of 2 closed clinical records reviewed.

The home health agency failed to ensure all staff practiced standard precautions to prevent the transmission of possible diseases/infections for 2 of 3 patients who received a home visit.

The agency failed to ensure patient rights were upheld to ensure all services were received as outlined in the plan of care for 1 of 3 active clinical records reviewed.

The agency failed to arrange a safe discharge/transfer to another home health agency to ensure patient needs were being met in 1 of 3 active clinical records reviewed.

The agency failed to ensure every plan of care was revised to reflect the most current patient information for 1 of 3 active clinical records reviewed.

The agency failed to ensure all home health aides (HHA) followed the individualized care plan for each patient for 3 of 3 active clinical records reviewed.

The agency failed to ensure all home health aides (HHA) followed the individualized care plan for each patient during supervisory visits for 3 of 3 active clinical records reviewed.

The home health agency failed to ensure the plan of care was followed in 6 of 8 clinical records reviewed.

The home health agency failed to ensure all employees practiced standard/universal precautions in 1 of 3 home visits observed.

The home health agency failed to maintain a program for identification, prevention, control and investigation of infectious and communicable diseases specific to care and services provided in the home setting in 1 of 1 home health agency.

The home health aide failed to ensure all tasks listed on the registered nurse developed aide care plan were followed in 8 of 8 clinical records reviewed.

The home health agency failed to adhere to the patient rights by not informing the patient of the change in frequency of visits in 1 of 8 clinical records reviewed.

The home health agency failed to ensure the comprehensive assessment included the patient's complete health status in 2 of 8 records reviewed.

The home health agency failed to ensure a review of the patient's current medications to include drug interactions was conducted during the comprehensive assessment in 2 of 3 home visits.

The home health agency failed to ensure the plan of care was individualized and complete to include all medications taken, durable medical equipment/ supplies (DME), and location of topical medications, and wound location in 2 of 8 clinical records reviewed.

The home health agency failed to ensure all medications and wound treatments were ordered by a physician in 1 of 6 records reviewed receiving skilled nursing services in a total sample of 8 clinical records reviewed.

The home health agency failed to promptly alert the physician of changes in the patient's condition in 1 of 6 records reviewed receiving skilled nursing services in a total sample of 8 clinical records reviewed.

The home health agency failed to coordinate care with all disciplines providing care to the patient to identify patient needs and factors that could affect patient safety and treatment effectiveness in 3 of 8 clinical records reviewed.

The home health agency failed to conduct an onsite supervisory visit by the registered nurse to the patient's home no less frequently than every 14 days in 1 of 8 clinical records reviewed.

The skilled nurse failed to provide supervision of the home health aide to ensure patients were receiving needed personal care as directed in the home health aide care plan in 4 of 8 clinical records reviewed.