Orange City Home Health

The agency failed to ensure the registered nurse (RN) developed home health aide instructions for patient care that were specific and individualized to the patient's needs for 1 of 2 sampled patients receiving home health aide services (Patient #1).

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies/equipment and all medications and treatments used by the patient for 3 of 7 sampled patients (Patients #1, #3 and #7).

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 2 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patient #5).

The agency failed to ensure the accurate completion of all components compromising the Plan of Care, including all supplies/equipment and medications used by the patient for 1 of 3 sampled patients with surveyor home visit observation (Patients #2).

The agency failed to ensure agency staff provided wound care treatments only as ordered by the physician for 2 of 2 sampled patients (Patient #1 and #6) with wounds.

The updates to the comprehensive assessment at recertification, dated 10/3/19, 12/4/19 and 1/31/2020, lacked inclusion of an assessment of the patient's emergency preparedness needs or review of the patient's current emergency plan. b.

The agency failed to ensure agency staff provided services according to an individualized plan of care and contacted the patient's physician to notify the physician to possibly make changes due to an inability to follow the plan of care for 2 of 3 sampled patients requiring physician notification…

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients with a home visit observation (Patient #1).

The agency failed to ensure 7 of 7 sampled home health aides (Home Health Aides E, F, G, H, J, K and L), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 1 of 3 sampled patients (Patient #9), had documented evidence of competency by a registered…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 5 of 7 sampled patients (Patients #2, #3, #5, #6 and #7).

The agency failed to update the Plan of Care with all new physician orders in a timely manner for 4 of 7 sampled patients with interim/verbal orders.

The agency failed to provide home health aide services, administer medications, treatments and services only provided as ordered by the physician for 4 of 9 sampled patients (Patients #1, #3, #6 and #7).

The agency failed to provide to the patients with updated medication lists when medication orders changed for 1 of 2 sampled patients with home visit observations with medication lists available for review (Patient #3).

The agency failed to provide the patient and caregiver with a copy of written instructions outlining any treatments to be administered by the agency personnel and personnel acting on behalf of the agency for 1 of 2 sampled patients with home visits (Patient #3).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patients…

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 2 of 3 sampled patients who received hands on personal care services in conjunction with skilled service provision (Patients #5 and #7).

The agency failed to ensure the patient's clinical record included documentation of all interventions, including medication administration, treatments, and services and responses to those interventions provided by the agency for 3 of 4 sampled patients with wounds(Patients #2, #4 and #5).

The agency failed to complete and send a transfer/discharge summary to the receiving facility in 2 business days of the patient's transfer and send a discharge summary to the physician responsible for providing care to the patient and any other health care providers who will care for the patient…