Pioneer Home Health Care

The agency failed to ensure their Emergency Preparedness Plan was being implemented when staff members were unable to provide information regarding the designated alternate office site during an emergency event.

The agency failed to maintain an effective infection control program (set of practices and policies designed to prevent and reduce the spread of infections in healthcare settings), when the data collection, as part of surveillance data (system of collecting patient records and data to measure…

The agency failed to ensure essential documents were provided for three of seven sampled patients (Patients 1, 2 and 3), when their home clinical record binder did not contain their current plan of care (POC- guide that lists their medical and emotional needs, including treatments, medications, and…

The agency failed to ensure their documentation of service discontinuation was complete and was in accordance with their own policy for two out of seven sampled patients (Patients 6 and 7), when Patients 6 and 7’s discharge documentation did not include a physician’s order.

The agency failed to ensure medication reconciliation (process to compare current medication order with what medications patients are actually taking) was conducted for two of seven sampled patients (Patients 1 and 2) when: 1.One of Patient 1's medication, which was listed on the Medication Profile…

The facility failed to accurately record medications for one of 7 patients (Patient 3), after discrepancies in medications were found between the patient medication record in the plan of care and the medications at the patient’s home.

The agency failed to ensure that the Condition of Participation: G 570 484.60: Care planning, coordination, quality of care was in compliance as follows: A.

The agency failed to provide training to contracted staff on the emergency preparedness policies and procedures and emergency plan, for 22 of 22 patients.

The agency failed to obtain consent to photograph for two of seven sampled patients (Patients 2 and 6) before photographs of Patient 2 and 6's wounds were taken.

The agency failed to ensure patients' clinical records were kept confidential for one of seven sampled patients (Patient 2) when photographs of Patient 2's wounds and nursing assessments were sent to the physician using an unsecured texting program.

The agency failed to ensure Skilled Nursing (SN) staff followed the physician's wound treatment order for one of seven sampled patients (Patient 2).

The agency failed to ensure Skilled Nursing (SN) staff obtained a physician's verbal order to change an existing wound treatment order for one of seven sampled patients (Patient 2).

The agency failed to ensure the physician was notified that a plan of care sent to the physician for review and approval contained incorrect assessments (interventions) and goals for one of seven sampled patients (Patient 1).