Prairie Healthcare Services LLC

The home health agency failed to ensure enteral nutrition information was included in the plan of care for 1 of 1 patient receiving enteral nutrition.

The home health agency failed to establish and follow policies for discharge planning to ensure patient needs were adequately met upon discharge (G0560) and failed to send all necessary medical information pertaining to the patient’s current course of illness and treatment to the receiving health…

The home health agency failed to ensure: the agency met the patient's needs (G0570); the plan of care was reviewed by the physician, individualized and followed by all agency staff (G0572); services and treatment were provided as ordered by a physician (G0578); all treatments provided by agency…

The agency failed to ensure each patient had an individualized emergency plan in 7 of 7 records reviewed.

The home health agency failed to ensure they included the procedures to inform state and local emergency preparedness officials about patients in need of evacuation from their residences at any time due to an emergency based on the patient's medical, psychiatric, and home environment conditions for…

The home health agency failed to ensure procedures were included to inform the state and local emergency official of any on-duty staff or patients the agency was unable to contact for 1 of 1 agency.

The home health agency failed to evidence the process for the use of volunteers or other emergency staff strategies to address surge needs during an emergency for 1 of 1 agency.

The home health agency failed to identify a method for sharing information and medical documentation for patients under the agency's care with other health care providers to maintain continuity of care, and in the event of an evacuation, a means of releasing patient information about the general…

The agency failed to ensure the discharge/transfer summary contained all necessary information regarding the patient’s discharge including medications and treatments in 1 of 2 discharged records reviewed The findings include: 1. An agency policy revised 11/4/2023, titled “Discharge Summary,”…

The home health agency failed to ensure the plan of care was individualized to include patient-specific measurable outcomes and goals in 5 of 7 clinical records reviewed.

The home health agency failed to ensure physician orders were conformed with regard to an integumentary assessment (skin) and call parameters for a heart rate less than 60 beats per minute in 1 of 7 clinical records reviewed.

The agency failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections in 2 of 3 home visits with the registered nurse (RN).

The home health agency failed to ensure the comprehensive assessment was conducted within 48 hours of the referral in 1 of 2 discharged records reviewed.

The agency failed to ensure the services and treatments were provided only as ordered by a physician in 1 of 1 clinical record reviewed for a patient with a port a cath.

The agency failed to coordinate care with other agencies providing services to the patient in 2 of 2 clinical record reviewed receiving services from another home care agency.

The agency failed to ensure their patients received a written schedule of visits in 2 of 3 home visits conducted (Patient #1, 7).

The agency failed to provide the patient a completed written medication schedule and instructions in 1 of 3 home visits.

The agency failed to provide the patient in writing the services and treatments to be provided by the agency in 3 of 3 home visits.

The skilled professional failed to provide patient and caregiver education as directed in the plan of care in 5 of 7 clinical records reviewed.