Phoenix Home Care and Hospice

The home health provider failed to ensure that accepted standards of practice to prevent transmission of infections and communicable diseases were followed in one of three home visit observations conducted (Record/Patient #1).

The home health provider failed to ensure that the patient’s rights information included the verbiage “provide written notice of the patient’s rights and responsibilities to a patient selected representative within 4 business days of the initial evaluation visit.” This deficient practice has the…

The home health provider failed to include the verbiage "make efforts to resolve the problem (s) presented by the patient's behavior, the behavior of other persons in the patient's home, or situation." This deficient practice has the potential to effect all patients served by the provider.

The home health provider failed to include the verbiage “document the problem(s) and efforts made to resolve the problem(s) and enter this documentation into its clinical records.” This deficient practice has the potential to affect all patients served by the provider.

The home health provider failed to conduct an initial assessment visit to determine the immediate care and support needs of the patient within 48 hours of referral in two of five full records reviewed (Records/Patients #3 and #5).

The home health provider failed to ensure the comprehensive assessment accurately reflected the patient's status in two of five full records reviewed (Records/Patients #2 and #5).

The home health provider failed to ensure staff performed an accurate drug regimen review and maintained an accurate/updated medication profile in four of five full records reviewed (Records/Patients #1, #2, #4, and #5).

The provider failed to provide an individualized plan of care (POC) when it failed to include instructions for surgical incision care, the use of a BiPAP machine (bi-level positive airway pressure, a type of non-invasive ventilation), the use of a continuous blood sugar monitoring device, and…

The home health provider failed to promptly alert the physician that they were unable to get the patient's weight as ordered to assess for fluid retention, in one of five full records reviewed (Record/Patient #4).

The home health provider failed to ensure their skilled professionals provided an ongoing interdisciplinary assessment of the patients when they failed to document an assessment/follow up in one patient (Record/Patient #2), failed to obtain blood glucose readings as ordered in one patient…

The agency failed to ensure a complete/accurate medication review and/or update of the patient's medications was completed in two (Record/Patient #1 and #2) of three home visit observations.

The agency failed to ensure a complete/accurate plan of care (POC) that included all required information was completed in, but not limited to, three (Record/Patient #1, #2 and #3) of five records reviewed.

The agency failed to ensure accurate and clear documentation of the patient's advance directive code status and documentation of attempts to obtain a copy of the advance directive in, but not limited to, three (Record/Patient #1, #2, and #3) of five records reviewed.

The agency failed to ensure the registered nurse (RN) documented a complete/accurate comprehensive assessment for one (Record/Patient #1) of three records reviewed.

The agency failed to ensure the transfer summary included all necessary medical information pertaining to the patient's current course of illness and treatment, for one (Record/Patient #1) of one record that was transferred to a long term care facility.

The agency failed to meet the requirements for the Condition of Participation: Care Planning, coordination of services and quality of care when the agency failed to: - Ensure the plan of care (POC) included physical therapy patient specific interventions and education (G574); - Promptly alert the…

The agency failed to meet the requirements for the Condition of Participation: Skilled Professional Services, when the agency failed to: - Ensure skilled staff provided ongoing interdisciplinary assessment of the patient, documented complete/accurate wound assessments, ensure a registered nurse…

The agency failed to ensure the plan of care (POC) included physical therapy patient specific interventions and education for one (Patient/Record #3) of three records reviewed that received therapy services.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care in one (Record/Patient #1) of four records reviewed.

The agency failed to ensure the plan of care was revised/updated to address the patients wound pain for one (Record/Patient #1) of four records reviewed.

The agency failed to document ongoing interdisciplinary assessments, document complete/accurate wound assessments, ensure a registered nurse (RN) provided wound assessments every two weeks as per agency policy and document complete pain assessments in one (Record/Patient #1) of four records…

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to ensure that a completed discharge summary was sent to the primary care physician or other professional responsible for providing care and services to the patient after discharge within five business days in two (Patients/Records #1 and #2) of three records reviewed . The agency…

Phoenix Home Care failed to ensure a complete plan of care was developed that identified patient specific needs, effectiveness of treatments and failed to ensure documentation of coordination of care provided by all disciplines, caring for the patient in 1 of 4 records reviewed (Record/Patient: 3).

The agency failed to ensure the registered nurse (RN) observed the home health aide perform all tasks required in one (Employee #1) of one home health aide employee file reviewed.

The agency failed to ensure drugs and treatments were administered only as ordered by a physician in, but not limited to, four (Record/Patient #1, #2, #3 and #7) of seven patient records.

The agency failed to ensure care was provided as ordered by the physician as indicated by the plan of care in two (Record/Patient #2 and #4) of seven records reviewed.

The agency failed to ensure that the agency staff evaluated the aide for all of the required elements during the aide supervisory visits in one (Record/Patient # 6) of one record reviewed that received aide services.

The agency failed to ensure wound care was provided according to acceptable standards of practice for one patient (Record/Patient #7) of one patient observed with wound care.