Progressive Home Care - Auburn

The agency failed to ensure the plan of care (POC) was followed regarding pain management for one of 18 sampled patients (Patient 8).

The Home Health Agency (HHA) failed to provide accurate medication profiles for 3 of 18 sampled patients (Patient 4, Patient 5, and Patient 19) when the patients' medication profiles did not reflect the medications they were currently taking.

The agency failed to ensure the plan of care (POC, a document which contains patient’s medical history, physician’s orders, clinical interventions and direction to clinicians providing direct patient care) developed for one of 18 sampled patients (Patient 17), was accurate and complete and…

The agency failed to ensure the services provided for one of 18 sampled patients (Patient 16) were based on physician’s orders and the physician signed a plan of care (POC) in a timely manner as indicated in the agency’s policy.

The agency failed to ensure plan of care (POC) was revised for one of 18 sampled patients (Patient 3) when the physician’s orders for wound care were not updated.

The Home Health Agency (HHA) failed to ensure visit frequency was followed according to the Plan of Care (POC) when 4 of 18 sampled patients (Patient 7, Patient 14, Patient 18, and Patient 19) did not have documentation of missed visits.

The agency failed to furnish nursing services in accordance with physician order and as indicated in the plan of care (POC) for one of 18 sampled patients (Patient 16), when Patient 16’s orthostatic blood pressure was not obtained during each visit.

The Home Health Agency (HHA) failed to document the presence of wound and wound care treatment consistently for one of four sampled patients (Patient 1), when nurse's visit notes did not reflect Patient 1's Stage 1 Pressure Ulcer (alteration in intact skin color due to pressure) to the right heel.

The agency failed to ensure a Licensed Nurse (LN) 1 followed their Standards of Conduct/Ethical Behavior policy when LN 1 voiced unsolicited information to 1 of 3 sampled patients (Patient 1) and her family during an admission initial home visit.

The facility failed to provide a safe and sanitary environment in order to prevent transmission of infections for one of 17 sampled patients (Patient 10).

The agency failed to ensure patients received care according to their plan of care for 2 of 5 sampled patients (Patient 3 and Patient 4).

The agency failed to ensure a comprehensive assessment including the administration of the OASIS (Outcome and Assessment Information Set- a tool utilized by home health agencies and the Centers for Medicare and Medicaid Services (CMS) to determine funding reimbursement for care provided) was…

The agency failed to ensure a clinical record included all interventions and responses to those interventions for 1 of 5 sampled patients (Patient 4).

The agency failed to develop the plan of care for 1 of 3 sampled patients (Patient 1) that covered all pertinent health problems when cardiovascular issues were not addressed.