Saint Francis Home Health

The agency failed to ensure completion of a discharge summary for one (Patients #17) of 17 patients.

The agency failed to ensure a medication profile was updated with current ordered medications for one (Patient #4) of 17 patients.

The agency failed to ensure individualized patient POC included: 1. SN interventions for wound site management were removed from the POC at the time of recertification for continued services for one (Patients #2) of 17 patients.

The agency failed to ensure care was coordinated between the agency and physician for four (Patients #1, 6, 11 and #14) of 17 patients.

The agency failed to ensure: SN conducted urinary catheter change intervention as ordered by the physician for one (Patient #2) of 17 patients; SN reported to the physician blood pressure readings outside of reporting parameters for one (Patient #11) of 17 patients and; SN reported to the physician…

The agency failed to ensure clinical visit note documentation was completed for two (Patients #1 and #3) of 17 patients.

The agency failed to ensure completed transfer/discharge summaries were provided timely to receiving service providers for four (Patients #11, 14, 16 and #17) of 17 patients.

The agency failed to ensure an Emergency Preparedness Communication Plan included required staff contact information for the agency for 366 patients and all employees.

The agency failed to ensure evidence of a patient centered QAPI Program for 366 patients and all employees.

The agency failed to ensure conduction of patient centered QAPI Program activities for 366 patients and all employees.

The agency failed to ensure the initiation of a PIP through their QAPI Program for 01/01/22 through 04/26/22 for 366 patients and all employees.

The agency failed to ensure the Infection Control Program was included in QAPI activities for 366 patients and all employees.

The agency failed to ensure speech therapy staff were available to meet patient care service needs for two (Patient # 6 and Patient # 16) of 17 patients.

The agency failed to ensure governing body oversite activities of an operating budget or capital expenditure plan for the agency for calendar year's 2020, 2021 and 01/01/22 through 04/26/22 effecting 366 patients and all employees.

The agency failed to ensure: SN visits were conducted as ordered by the physician for two (Patients #1 and #2) of 17 patients;OT visits were conducted as ordered by the physician for one (Patient #2) of 17 patients;PT visits were conducted as ordered by the physician for one (Patient #4) of 17…

The agency failed to ensure multi-disciplinary skilled professional staff were available to participate and provide input into the agency QAPI program for 366 patients and all employees.

The agency failed to ensure a completed discharge summary was provided for two (Patients #4 and #5) of 17 patients.