Quincy Home Medical Services

The agency failed to individualize all treatments, pertinent diagnoses interventions and goals as relevant to the plan of care for one out of 10 sampled patients, (Patient 5).

The agency failed to have an effective governing body (GB) legally responsible for establishing and implementing management and operational policies to ensure effective administration of the agency to provide care and services within acceptable standards of practice when the agency failed to…

The agency failed to ensure seven of 10 sampled patients (Patient 1, 3, 4, 5, 7, 9, and Patient 10), was assessed by a Registered Nurse (RN) within 48-hours of their referral for home health care, or notify the physician when there was a delayed start of care (admission to agency).

The agency failed to review and document all medications in the home for one out of four patients, (Patient 6) during the initial assessment and follow up home visits to include in the clinical record and for the physician to review for interactions.

The agency failed to identify and update the physician of a significant change in condition for three of 10 sampled patients (Patient 1, 3, and Patient 6) when: 1. Patient 1 had an elevated blood pressure (B/P) that was not immediately reported to the physician.

The agency failed to ensure 10 out of 10 patients (Patient 1, 2, 3, 4, 5, 6, 7, 8, 9, and Patient 10) had Interdisciplinary (IDT, contributions of various health care disciplines and their interactions with each other to meet the patient's needs) ongoing assessments documented in the clinical…

The agency failed to ensure three of 10 sampled patients (Patient 3, 7, and 10), were evaluated by a discipline ordered by the referring physician in a timely manner included in the plan of care (POC), when Patient 1, 7, and 10’s Physical Therapy (PT) evaluation was late.

The facility did not develop a P&P that included COVID-19 vaccination of facility staff. 1.b.

The facility failed to maintain their emergency preparedness plan when they did not review and update the plan every two years.

The facility failed to ensure that services provided conformed with physician orders when orders for two of 7 sampled patients (Patient 4 and Patient 7) were not carried out as specified by the physician when Patient 4 missed a physical therapy visit on 5/26/22 and Patient 7 did not receive all…

The facility failed to follow accepted standards of practice to prevent the transmission of disease when Bag technique was not followed during an observed home visit, andSupplies available for use in the facility supply room were expired.

The facility failed to develop and implement a policy and procedure (P&P) to ensure all facility staff who provide any care, treatment, or other services for the facility and/or its patients are fully vaccinated for COVID-19 (an illness that can cause severe symptoms and in some cases death…

The facility failed to conduct an initial assessment within 48 hours of the referral, on two of seven sampled patients (Patient 4 and Patient 6).

The facility failed to document a verbal order for one of two patients (Patient 6) when wound care had been provided to Patient 6. This failure had the potential for incorrect wound care to be performed by other visiting nurses which could cause wound deterioration and a potential negative outcome.

The facility failed to perform any ongoing interdisciplinary assessment of their patients when no case conference notes were found in seven of seven clinical records reviewed.