Mountaineer Homecare

The patient's plan of care was not followed in two (2) out of seventeen (17) records reviewed (patients #13 and 16).

The facility failed to ensure the staff kept clean and dirty equipment separate and cleaned equipment after patient use for two (2) of seven (7) patients observed during home visits (patients #8 and 9).

The agency failed to notify three (3) out of seventeen (17) patients in writing what their expected fees would be for services rendered by the agency (patient #5, 13, and 15).

The agency failed to ensure that an initial assessment was conducted within forty-eight (48) hours of the referral in two (2) out of seventeen (17) records reviewed (patients #5 and 15).

The agency failed to follow accepted standards of practice to prevent the transmission of infections and communicable diseases.

The agency failed to provide an initial assessment within forty-eight (48) hours of referral in four (4) of seventeen (17) records reviewed (Patients #1, 10, 11 and 12).

The agency failed to promptly alert the relevant physician to changes in patients' conditions.

The agency failed to ensure documentation in the clinical record established effective information exchange and coordination of patient care had occurred in three (3) of twenty (20) clinical records reviewed who had need of coordination of care (patients #1, 3 and 5).

The agency failed to follow the Plan of Care in four (4) of twenty (20) clinical records reviewed (patients #8, 12, 15 and 19).