Multi-Skilled Home Care Services, Inc

The home health agency (HHA) failed to ensure the emergency preparedness program was conducted on an annual basis.

The agency failed to follow accepted standard precautions to prevent transmission of infection. - Patient 1 was provided wound care treatment to the left and right lower legs by LVN 1. LVN 1 failed to perform hand hygiene and change gloves in between dressing changes. -The agency staffs were not…

The home health agency (HHA) failed to maintain an accurate, and current medication profiles for one of seven sampled patients (Patients 1).

The licensed staff failed to administer treatments as ordered by the physician for one of seven patients with non-pressure chronic ulcer (Patient 1).

The licensed nurse failed to notify the physician of the patient's medications (Lasix) that expired and needs to be refilled and Atenolol medication that was missing for one out of 7 patients (Patient 1).

The home health agency (HHA) failed to follow the plan of care (POC) for two of seven patients (Patient 5 & 7 ).

The agency staff failed to submit nursing clinical notes within the time frame as indicated in the facility's policy for one of seven patients ( Patient 5).

The agency failed to complete the OASIS (comprehensive assessment) for two of seven patients (Patients 1 & 2).

The agency failed to implement their policy on clinical record reviews which would assist in monitoring the timeliness and efficiency as well as the degree of accuracy and completeness of the health information for current and discharged patients for one of 7 sample patients.

The home health agency (HHA) staff failed to ensure the skilled nurse (SN) administered treatment as ordered by the physician for one of 7 sample patients (Patient 6).

The agency staff failed to ensure the care was provided in accordance the written POC (plan of care) that was established for each for 2 of seven sample patients (Patients 6 and 7) who required wound care.

The agency's contracted physical therapy assistant (PTA) was not supervised by a physical therapist for one of seven patients ( Patient 3).

The agency Registered Nurse (RN) failed to make and onsite visit to patient's home every 14 days while the patient was serviced by the certified home health aide (CHHA) for one of seven patients (Patient 3).