North Oakland Home Health Care

The agency failed to ensure the comprehensive assessment included a review of all medications to identify any potential adverse effects and drug reactions for 4 of 5 (MR's #2, 3, 4, and 10) records reviewed which included major and/or duplicative drug therapies, and failed to ensure a registered…

The agency failed to ensure the plan of care included objectively measurable goals specific to the needs of the patient under skilled nursing, for 8 records (MR#s 2, 3, 4, 5, 6, 8, 9, and 10) from a total sample of 10 records reviewed, resulting in patients not receiving care specific to their…

The Agency failed to ensure a qualified alternate, was authorized in writing by the Administrator and the governing body, to function in the Administrator's absence, resulting in the potential for uncoordinated Agency functions.

The agency failed to provide documentation of participation in an additional exercise to test the emergency plan and failed to provide documentation of the agency's analysis and response to the community-based emergency event.

The Registered Nurse (RN) failed to follow practice standards during wound observation, while caring for 1 of 3 patients who underwent a total knee replacement, from a total of 10 patients reviewed (MR # 10) resulting in the potential for development of infection.

The Agency (HHA) failed to ensure the Skilled Nurse (SN) coordinated services with the physician in 1 of 1 record with unreported suspected, significant, weight loss from a total of 10 records reviewed (MR #8) resulting in the potential for unidentified, untreated health concerns and poor patient…

The agency failed to ensure the clinical record contained interventions to monitor patient weights for 1 of 1 record reviewed (MR#2) in which the patient had congestive heart failure, resulting in two re-hospitalizations during the course of care.

The agency failed to ensure that the clinical record contained a completed discharge summary in 2 of 4 closed records (MR #1, 8) from a total sample of 10 records reviewed, resulting in the physician not having access to a complete and detailed summary of the patient's health status and care…