Ohio Valley Medex Inc

The agency failed to develop and implement an effective discharge planning process for 5 of 5 active records reviewed (Patient 1, 2, 3, 4, & 5).

The agency failed to review and revise the patient's plan of care to ensure all medications include the correct dosage and all nutrition requirements were adequately documented for 4 of 5 active records reviewed.

The agency failed to implement policies and procedures to ensure all agency staff is in compliance with the Center for Medicare and Medicaid Services COVID-19 vaccination mandate for 1 of 1 agency reviewed.

The agency failed to ensure specific written patient care instructions and frequencies of each task were included on the aide plan of care for 1 of 1 home health aide observations.

The agency failed to ensure the patient's Plan of Care included an accurate mental, psychosocial, and cognitive status assessment, failed to include discharge planning, failed to include a description of the patient's risk for emergency department visits and hospital re-admissions, and all…

The agency failed to ensure the Medication profile / physician orders included accurate dosages and instructions for 2 of 3 home visit observations.

The agency failed to ensure staff were following acceptable standards of practice by actively taking their temperatures and documenting absence of illness or signs/symptoms of Covid-19 for 1 of 1 Home Health Agency.

The agency failed to ensure they were able to meet a patient's needs by failing to provide timely care ordered by the physician following a hospitalization in 1 of 7 active patients.

The agency failed to ensure the Registered Nurse (RN) ensured the home health aide (HHA) care plan was individualized with specific tasks to be completed and how often for 4 of 4 active records reviewed with a HHA, and failed to ensure the HHA followed the care plan as ordered or notified the nurse…

The agency failed to ensure they adhered to federal, state, and local laws and regulations related to the safety of patients by hiring a nurse with a Felony Neglect charge on their Background Check for 1 of 8 nurses employee records reviewed.

The agency failed to ensure patient's OASIS (Outcome Assessment and Information Set) were completed in their entirety to reflect patient status for 4 of 4 patients reviewed with OASIS assessments.

The agency failed to ensure patients received the services in their plan of care for 3 of 7 active patients.

The agency failed to ensure physician's orders were followed for 3 of 7 active records reviewed.

The agency failed to ensure infection control practices were maintained at 3 of 3 home visits.

The agency failed to ensure the Registered Nurse (RN) ensured the home health aide (HHA) care plan was individualized with specific tasks to be completed and how often for 4 of 5 active records reviewed with a HHA, and failed to ensure the HHA followed the care plan as ordered or notified the nurse…

The agency failed to ensure documentation was appropriately authenticated with the date, time, signature, and title for 7 of 7 active clinical records reviewed.

The home health agency failed to ensure the comprehensive assessment reflected the patient's current health status in 3 of 3 active clinical records with nursing, reviewed.

The agency failed to ensure the plan of care was individualized and included all pertinent orders for 1 of 4 active patients (Patient 2) with skilled nursing and 1 of 2 discharged patients reviewed.

The agency failed to ensure a wound care treatment was administered only as ordered by a physician for 1 of 2 discharged records reviewed.

The agency failed to ensure the physician was notified that the plan of care was not being fulfilled as ordered for 1 of 1 active home health aide only patient.

The agency failed to ensure patients received the services in their plan of care for 1 of 4 patients reviewed with skilled nursing services.

The agency failed to ensure nurses documented what specific medications they administered at visits for 2 of 4 active records with nursing.

The agency failed to ensure the Home Health Aide provided services that were ordered by the physician and within their scope of practice for 2 of 5 active records reviewed with a Home Health Aide (Patients 3, 7) and 2 of 2 closed records reviewed with a Home Health Aide.

The agency failed to ensure a nurse supervised the home health aide to ensure they furnished care in a safe manner within their scope of practice for 1 of 2 closed records reviewed.