Nhc Homecare Laurens

The facility failed to follow their policies and procedures to ensure that there are no discrepancies between medications listed on the Medication Administration Record and the medications the patient is actually taking for 3 of 7 applicable patients.

The hospice failed to notify the physician of staff missed visits for 3 of 17 patient records reviewed.

The home health agency failed to ensure all physican orders were followed for 3 out of 17 patients (Patient #2, #8 and Patient #10).

The Home Health Agency (HHA) staff failed to ensure all patient goals on the plan of care were measurable for fifteen (15) of seventeen (17) patient records reviewed.

The home health agency failed to provide a policy and procedure for volunteers in the home health agency's emergency preparedness plan.

The home health agency failed to provide alternate means of communication for its emergency services in its emergency preparedness plan.

The home health agency failed to provide emergency preparedness training for two contract employees: Occupational Therapist and Physical Therapist on its emergency preparedness program.

The home health agency failed to document and analyze the agency's response to testing exercises for its emergency preparedness program.

The home health agency failed to ensure the patient's plan of care developed by the Registered Nurse (RN) and approved by the physician was followed related to missed visits and the reporting of abnormal blood pressures for 3 of 18 patient records reviewed for care and services.

The home health agency failed to ensure its staff followed accepted principles of infection control in the provision of patient care for 1 of 7 staff [Occupational Therapy (OT)] who failed to perform hand hygiene after patient care and failed to clean the the computer tablet prior to exiting the…

The agency failed to obtain a second witness for a telephone consent for one of eighteen patient records reviewed for care and services.

The home health agency staff failed to obtain a physician's orders for a patient visit for 2 of 18 patient charts reviewed for care and services.

The home health agency failed to coordinate the care of 4 of 18 patient charts by failing to report abnormal blood pressures, missed visits, visits with no physician orders, no Aide plan of care, and no supervisory aide visits.

The agency's licensed nursing staff failed to provide a plan of care for the Home Health Aide (Aide) for 1 of 3 patients receiving Aide services.

The home health agency failed to ensure supervisory visits by the Registered Nurse (RN) were completed for 1 of 3 patients receiving home health aide services.

The agency failed to provide an organizational chart that showed its lines of communication and authority of the parent organization and branch office.

The agency failed to ensure two contract employees (OT and PT) obtained annual education, as required by employees, as a responsibility for patient care in all services rendered to patients either directly or under arrangements.