Saline County Health Department

The home health agency failed to measure, analyze and tract quality indicators and adverse events as defined in their policy.

The agency failed to provide written notice of the Home Health Agency's (HHA) transfer and discharge policies to 7 (Patient 1, 2, 3, 4, 5, 6, and 7) of 7 sample patients.

The Home Health Agency (HHA) failed to provide patients with written notice, in advance of reducing or terminating a service for 1 (Patient 7) of 7 sampled patients.

The home health agency (HHA) failed to ensure the completion of supervisory visits for 4 (Patient 2, 4, 5, 6) of 7 sample patients.

Staff interview the Home Health Agency (HHA) skilled staff failed to ensure that all Comprehensive Assessment including OASIS and clinical notes were performed and maintained in the clinical record for 5 (Patient 1, 4, 5, 6, and 7) of 7 sample patients.

The agency failed to ensure the skilled nurse assumed the responsibility to: 1. Ensure a patient specific reason was written next to the abbreviation, PRN (whenever necessary) to indicate what reason the physician ordered the skilled nurses' vital signs to include a SPO2 (Saturated Pulmonary…

The agency failed to ensure the contents of the clinical record were accurate, by failing to ensure the signature date found on each skilled nurses' visit document, corresponded with the date of the skilled nurse visit, for 3 (three) of 7 (seven) sampled Patients, 2, 3 & 4. All patients receiving…

The agency failed to ensure the plan of care was individualized to include:1. All of the patient-specific interventions/educational teachings in the skilled nurse intervention section of the plan of care to achieve each established goal, for 2 (two) of 7 (seven) sampled Patients, 2 & 5; and 2. The…