Premiere Home Health

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in three of five full records reviewed (Records/Patients #1, #2, and #3).

The home health provider failed to ensure clinicians promptly notified the patient's physician/allowed practitioner of any changes in the patient's condition or needs that suggested that outcomes were not being achieved and/or that the plan of care should be altered in one of five full records…

The home health provider failed to ensure the plan of care (POC) was revised/updated to address the patient's needs, in one of five full records reviewed (Record/Patient #2).

The agency failed to ensure/document the transfer summary was sent, for one (Record/Patient #6) of one record that was transferred from home health to a hospice agency.

The agency failed to ensure staff followed acceptable standards of practice for infection control in one (Record/Patient #3) of three home visit observations.

The agency failed to update the written notice of patient rights to meet the requirements of the federal home health regulations to include the patient has the right to be advised orally and in writing of financial liability.

The agency failed to update the written notice of patient rights to include the patient has the right to be free from any discrimination or reprisal for exercising his or her rights or for voicing grievances to the home health agency or an outside entity.

The agency failed to ensure the patient's medications were reconciled during the start of care comprehensive assessment in, but not limited to, one (Record/Patient # 3) of five full records reviewed.

The agency failed to ensure staff followed physician orders and treatments as ordered, which affected two (Records/Patients #2 and #3) of five full records reviewed.

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 (POC), in one (Record/Patient #2) of five records reviewed.

The agency failed to provide a written visit schedule that included disciplines that would visit and the frequency of visits in two (Records/Patients #1 and #2) of three home visit observations performed.

The agency failed to meet applicable Missouri state law.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in, but not limited to,one (Record/Patient #3) of five records reviewed.

The agency failed to provide an individualized plan of care that included patient specific interventions in, but not limited to, one (Patient/Record #2) of five records reviewed and failed to ensure all required elements were included on the plan of care in, but not limited to, two (Patient/Record…

The agency failed to document complete pain assessments in, but not limited to, one (Record/Patient #3) of five records reviewed.