Priority One Home Health

The Agency failed to provide documentation that it had participated in the community based full-scale exercise required every two years, resulting in the potential for patients and staff not to be properly prepared in the event of an actual emergency.

The Agency failed to furnish Home Health Aide (HHa) services for 1 (P-1) of 1 home visits made deemed eligible for HHa services, out of a total sample of 7 records reviewed; failed to provide Occupational Therapy (OT), and HHa services as ordered in the physician's referral for home care in 2 (P-4…

The Agency failed to ensure its procedure to perform a comprehensive review was sufficient within accepted standards of professional practice in determining any potential adverse medication effects such as: side effects, drug interactions, and duplicate drug therapy in 1 (P-4) of 7 records…

The Agency failed to ensure the plan of care (POC) provided the frequency and duration for all ordered disciplines in 2 (P-4, P-5) of 7 total records reviewed; failed to include all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals specific to…

The Agency failed to ensure the clinical record was complete, including assessments, notes and evaluations, for 2 (P-2, P-3) of 7 records reviewed, from a total sample of 7 records reviewed, resulting in an incomplete record, an incomplete depiction of the patient's health status, and the potential…

The Agency failed to ensure a discharge summary was complete, provided the patient's health status at the time of discharge, progress toward goals, and forwarded to the physician within 5 days of discharge in 1 (P-6) of 2 closed records; and failed to ensure a transfer summary was sent to the…

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to ensure the Plan of Care included objectively measurable and individualized goals in 7 of 7 records reviewed (MR#s 1, 2, 3, 4, 5, 6, and 7) and safety precautions in 1 of 7 records reviewed (MR#2) from a total of 7 sampled records reviewed, resulting in a potential for failure…

The nurse failed to adequately assess and monitor the needs of the patient in one of seven records reviewed (MR#3), resulting in the potential for unidentified care needs.

The Agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects and duplicate drug therapy in 5 records (MR's #s 1, 2, 3, 4, and 5), from a total of 7 sampled records reviewed, resulting in the potential for harmful medication effects…