Mount Evans Home Health Care & Hospice

The agency failed to ensure that staff provided care in accordance with current clinical practice guidelines and accepted professional standards of practice in 2 of 2 patients, who received peripherally inserted central catheter (PICC) line treatment, reviewed (Patients #1 and #2).

The agency failed to ensure each patient received home health services in accordance with the written plan of care established and periodically reviewed by a physician for 2 of 12 active patients reviewed (Patients #3 and #9).

The agency failed to assure communication with all disciplines involved in the plan of care to meet the patient's needs for 2 of 3 patient records reviewed who sustained a fall (Patients #6 and #13) within the last five months.

The agency failed to ensure an initial assessment was provided within 48 hours of referral for 2 of 12 active patient records reviewed (Patients #1 and #5).

The agency failed to ensure comprehensive assessments were performed in the last five days of a 60 day certification period for 4 of 12 active patient records reviewed (Patients #6, #8, #11, and #12).

The agency failed to ensure communication with physicians involved in the Plan of Care for 4 of 12 active patient records reviewed (Patients #3, #8, and #12) and 1 of 5 discharged patient records reviewed (Patient #13).

The agency failed to ensure certified nursing aides (CNAs) provided services as ordered by the physician, included in the plan of care, permitted to be performed under state law and were consistent with home health aide training for 1 of 1 patients reviewed receiving CNA services (Patient #6).

The agency failed to provide a discharge summary to the physician within 5 days following patient discharge for 2 of 5 discharge records reviewed (Patients #13 and #14).

The agency failed to ensure nursing staff complied with professional standards and principles pertaining to appropriate infection control during the provision of wound care for 1 of 2 patients with observed wound care during home visits (Patient #2).

The agency failed to; ensure the registered nurse (RN) obtained physician's orders for wound care and provide wound care in conformance with physician's orders and as indicated in the Plan of Care for 2 of 4 patient records reviewed who had wound care (Patient #2 and #4).

The agency failed to ensure certified nursing aides (CNAs) provided services as ordered by the physician, included in the plan of care, permitted to be performed under state law and were consistent with home health aide training for 1 of 2 patients reviewed receiving CNA services (Patient #13).