Saline Memorial Home Health

The Agency failed to alert the Physician of relevant assessment findings which may have necessitated an alteration in the Plan of Care (POC) in 2 (#16 and #17) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to conduct and/or participate on an annual basis in a tabletop or community-based exercise in order to analyze the Agency's Emergency Preparedness Program.

The Agency staff did not follow physician orders regarding wound measurements, blood glucose monitoring/reporting, blood pressure (B/P) monitoring/recording and/or the frequency of skilled professional visits for 5 (#3, #8, #11, #12, and #13) of 17 (#1 - #17) Clinical Records reviewed.

The Agency did not ensure each Home Health Aide (Aide) completed 12 hours of in-service training for the 12 month periods of 2018 and 2019 as required for 2 (#1 and #2) of 2 (#1 and #2) (100%) Aides employed by the Agency.

The Agency did not complete an assessment of a wound or measure the wound for 1 (#3) of 7 (#3-#5, #8, #10-#12) Clinical Records reviewed in a case mix of clinical records with wounds.

The Agency did not ensure each professional staff member coordinated care and treatment with the Registered Nurse (RN) in 2 (#6 and #10) of 17 (#1 - #17) Clinical Records reviewed.

The Registered Nurse (RN) failed to provide timely oversight of the Aide through on-site Supervisory Aide Visits (SAV) every 14 days in 2 (#1 and #6) of 3 (#1, #3, and #6) Clinical Records reviewed with orders for Aide services.

The Agency failed to ensure Criminal History Record Checks and Arkansas Department of Health (ADH) Determination Letter were completed on all Home Health Aides (Aide), personnel #1 and #2, (100%) employed Aides no less than one time every five years as required for continued employment.