R & a Home Health Services, Inc

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to conduct a pain assessment identifying the location, character, and level of pain, in accordance with the agency’s policies and procedure, for two of…

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Care Planning, Coordination of Services, and Quality of Care was met as follows: 1. The HHA failed to follow the written plan of care for two of seven sampled patients, (Patients 1 and 2).

The Home Health Agency (HHA) failed to ensure the Condition of Participation for Skilled Professional Services was met as follows: 1. The HHA staff failed to assess one of seven sampled patients (Patient 1), with his pain and ensure interventions were provided timely to relieve the pain.

The home health agency failed to conduct a pain assessment identifying the location, character, and level of pain, in accordance with the agency’s policies and procedure, for two of seven sampled patients, (Patient 4 and Patient 6).

The home health agency failed to: 1. Perform a skin assessment for Patient 1, who had an open sacral wound and left leg laceration.

The agency failed to follow the written plan of care for two of seven sampled patients, (Patients 1 and 2).

The home health agency (HHA) failed to develop and implement an individualized plan of care (POC) for the two of 7 sampled patients, (Patient 4 and Patient 7) receiving anticoagulant (blood thinners-to prevent and treat blood clots) medications.

The home health agency failed to ensure wound orders for an existing open sacral wound and skin laceration on left lower leg were obtained from the physician for one out of seven sample patients, (Patient 1).

The home health agency failed to ensure, the physician was notified promptly of the sacral open wound and the skin laceration on the left lower leg, for one out of seven sampled patients, (Patient 1).

The home health agency failed to assess one of seven sampled patients (Patient 1), with his pain and ensure interventions were provided timely to relieve the pain.

The home health agency failed to provide, for one of seven sampled patients, (Patient 5), patient and caregiver education regarding insulin (an injectable medication used to treat diabetes [a chronic condition that affects the way the body processes blood sugar]) medication and its expiration date.