Mosaic Life Care Home Health

The home health provider failed to ensure the initial assessment was completed within 48 (forty-eight) hours of the referral in one of five full records reviewed (Record/Patient #4).

The home health provider failed to ensure staff maintain an accurate and updated medication profile in, but not limited to, two of three home visit observations (Records/Patients #1, and #2).

The provider failed to obtain orders to provide services and treatments only as ordered by a physician or allowed practitioner in one of five full records reviewed (Record/Patient #2) . This deficient practice has the potential to affect the care of all the provider's patients.

The agency failed to use standard precautions to prevent the transmission of infections and communicable diseases in one (Record/Patient #1) of three home visit observations and failed to screen visitors/non-employees for COVID-19 (pandemic infection) who entered the home health agency office.

The agency failed to ensure the patient's medications were reconciled during the start of care comprehensive assessment and that the medication profile was updated with medication changes in, three (Records/Patients #1, #2 and #3) of six full records reviewed.

The agency failed to ensure treatments were administered only as ordered by the physician in, but not limited to, two (Record/Patient #1 and #3) of six full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in three (Record/Patient #1, #2, and #7) of seven records reviewed.

The agency failed to ensure the plan of care was revised/updated to address patients' needs for one (Record/Patient #1) of six full records reviewed.

The agency failed to provide the patient/caregiver with a copy of written instructions for any treatments being administered by the agency in two (Record/Patient #1 and #2) of three home visits conducted.

The agency failed to ensure the registered nurse (RN) developed and maintained a complete and accurate aide care plan/assignment in one (Record/Patient #5) of two applicable records of patients receiving aide services.

The agency failed to ensure a complete and accurate plan of care in but not limited to one (Record/Patient #3) of five cases reviewed.

The agency failed to ensure effective ongoing interdisciplinary assessment of the patient.

The agency failed to ensure that patient and caregiver education was provided in, but not limited to, one (Record/Patient #3) if five records reviewed.