Northern Lights Home Health Care

In 1 out of 13 records (patient #5) the agency failed to ensure the skilled professionals conducted a comprehensive assessment of the patient's needs.

In 3 out of 13 records (patients #3, 5, and 8) the Registered Nurse (RN) failed to perform complete and accurate medication assessments.

In 3 out of 13 records (patients #5, 6, and 10) the agency failed to develop plans of care that were complete, accurate, and addressed the total needs of the patient.

The agency failed to ensure a revised Plan of Care reflect current information from the patient's updated comprehensive assessment.

For 2 of 15 patients (patients #7 and 9) the agency failed to ensure the registered nurse provided the patient with appropriate education regarding the care and services identified in the plan of care.

For 3 of 13 records (Patients # 3, 9 and 13), the agency failed to ensure comprehensive assessments were of sufficient scope to ensure all patient needs were identified.

In 2 records (patients # 6 and 9), the skilled nurse (SN) failed to develop an aide care plan with complete written instructions for all tasks performed.

In 4 out of 13 records (patients # 3, 6, 8 and 13), the skilled nurse (SN) failed to perform complete and accurate medication assessments.

In 1 out of 13 records (Patients # 3), the agency failed to develop individualized plans of care that were complete and accurate, and addressed the total needs of the patients.

In 4 of 13 records (Patients # 5, 6, 11 and 12), the skilled nurse (SN) failed to effectively coordinate patient care.

The HHA care plan dated 09/21/18 failed to include instructions to the aide to observe and report, signs and symptoms of high/low blood sugar to the SN. - The 09/03/18 plan of care included instructions for the HHA to apply barrier cream to the patient's buttocks daily and as needed.

In 5 out of 13 records (Patients #3, 6, 8, 10 and 11), the agency failed to develop individualized plans of care that were complete, accurate, and addressed the total needs of the patients.

In 2 of 13 records (Patients #3 and 10) the agency failed to ensure the patient's plan of care was effectively coordinated: This was evidenced by: 1. Patient # 10 was admitted to the agency on 09/05/18 with diagnoses of Type 2 Diabetes with diabetic neuropathy, retinopathy, long term use of…

In 3 of 5 records (Patients # 6, 8, and 9) the skilled nurses (SN) failed to adequately supervise the HHA to ensure the HHA was oriented to the plan, the plan was followed and updated, and all patients needs were met.

The agency failed to ensure all services provided by arrangement were available and a written agreement was in place for services supplied by another agency designating how the plan of care would be coordinated and supervised, and the responsibilities of both parties.