Prohealth Home Care Services, Inc.

The agency staff failed to ensure care followed the written plan of care for one of 10 patients (Patient 1).

The home health agency (HHA) failed to maintain an accurate and current medication profile for two of ten sampled patients (Patients 1 and 7).

The HHA failed to ensure the wound care order for the patient's open wound was transcribed in the plan of care (POC) for one out of 10 sampled patients (Patient 2).

The home health agency (HHA) failed to ensure that the medications and treatments were administered as ordered by the physician for three of 10 sampled patients (Patients 1, 2 and 7).

The Home Health Agency (HHA) failed to ensure the designated attending physician was notified and notification was documented when the ordered home visits were missed for one of ten sampled patients (Patient 8).

The Home Health Agency (HHA) failed to ensure onsite supervisory visit for home health aide was conducted every 14 days for one of seven sampled patients receiving home health aide services (Patient 8).

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The Home Health Agency failed to ensure the initial comprehensive assessment was completed no later than five (5) days after the start of care for seven out of eight…

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Care Planning, Coordination, Quality of Care was met by failing to complete the plan of care for five of 8 sampled patients, (Patient 1, Patient 2, Patient 5, Patient 6, and Patient 7).

The Home Health Agency (HHA) failed to meet the Condition of Participation for Clinical Records as follows: 1. The home health agency failed to ensure pertinent clinical records were included to accurately reflect the care and assessment for seven of 8 sampled patients (Patient 1, Patient 2…

The Home Health Agency (HHA) failed to ensure the initial comprehensive assessment was completed no later than five (5) days after the start of care for seven out of eight sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7).

The Home Health Agency (HHA) staff failed to review all the medications and update the medication profile with currently used medications for one of eight sampled patients (Patient 2).

The Home Health Agency skilled nurse (SN) failed to update the comprehensive assessment upon discharge for two of eight sampled patients (Patient 2 and Patient 7).

The Home Health Agency (HHA) failed to complete the plan of care to be followed for five of 8 sampled patients, (Patient 1, Patient 2, Patient 5, Patient 6, and Patient 7), This deficient practice had the potential to affect the necessary care and services needed to maintain the highest practicable…

The Home Health Agency (HHA) failed to ensure pertinent clinical records were included to accurately reflect the care and assessment for seven of 8 sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7).

The home health agency (HHA) failed to complete the discharge summary and ensure all necessary health informations were sent to the primary care practitioner within 5 days of discharge for review, for the two of 8 sampled patients (Patient 2 and Patient 7).