Scroggins Nursing and Home Services

The agency failed to provide the patient and caregiver with a copy of the plan of care that included wound care orders for 1 of 2 home visits completed.

The agency failed to follow accepted standards of practice to prevent the transmission of infections during 2 of 2 home visits.

The agency failed to develop and maintain an individualized Emergency Preparedness Plan for 1 of 1 agency reviewed with the potential to affect all patients.

The agency failed to ensure a discharge summary containing: all essential medical information concerning the patient's current condition of illness and treatment, after discharge goals of care, and treatment choices was provided to their primary care provider to guarantee the safe and effective…

The agency failed to show documentation of OASIS data being incorporated into the QAPI program for 1 of 1 agency reviewed.

The agency failed to develop, improve, or complete a performance improvement project for 1 of 1 agency reviewed.

The agency failed to furnish the patient or patient's legal representative with contact information for the home health administrator, including: the administrator's name, business address, and business phone number for the purpose of receiving complaints for 3 of 4 home visits conducted (Patient…

The agency failed to ensure POCs included personalized patient and caregiver training and education to promote an efficient discharge; patient/caregiver identified goals, measurable outcomes, interventions, and education to reach goals; and an explanation of the patient's likelihood for emergency…

The agency failed to ensure all doctor's orders were included on the POC for 1 of 2 skilled home visits conducted (Patient # 3).

The agency failed to ensure all patients received a schedule with frequency of visits and by what service type for 3 of 4 home visits conducted (Patients #1, #3, and #6).

The agency failed to ensure all patients received a current written medication list for 4 of 4 home visits conducted (Patients #1, #3, #4, and #6).

The agency failed to ensure all patients received a list of all current treatments to be administered by personnel for 1 of 2 skilled home visits conducted (Patient #3).

The agency failed to supply the patient and caregiver written instructions communicating the name and contact information for the home health agency's clinical manager for 3 of 4 home visits conducted (Patient #1, #3, #6).

The agency failed to ensure discharge summaries were sent to patients' primary care provider within the specified timeframe after the patient's discharge for 2 of 2 closed records reviewed (Patient #9, #10).

The agency failed to encode and transmit completed OASIS (Outcome and Assessment Information Set) assessment data on 4 of 4 skilled patient records reviewed (Patient #1, #2, #3, & #5), which had the potential to affect all patients.

The agency failed to provide all patients with a written policy informing them of their discharge rights prior to discharge for 7 of 7 clinical records reviewed.

The agency failed to show documented evidence of OASIS (Outcome and Assessment Information Set) data being incorporated into the quality assurance improvement program for 1 of 1 agency reviewed.

The agency failed to track adverse patient events in their quality assurance and improvement program for 1 of 1 agency reviewed.

The agency failed to develop, improve, or complete a performance improvement project for 1 of 1 agency reviewed.

The agency failed to maintain a 100% compliance rate for the federal COVID-19 vaccination requirement for 5 of 29 personnel records reviewed.

The agency failed to ensure all items in the clinical record were retained for a period of 5 years for 1 of 2 closed records reviewed.

The agency failed to include the patients' risk for hospitalization and failed to include patient-specific education, outcomes, and measurable goals identified by the patient and the agency for 7 of 7 clinical records reviewed.

The agency failed to ensure the clinical record contained clinical notes recording clinical progress, interventions and response to those interventions, and goals including progress towards those goals for 2 of 4 skilled nursing clinical records reviewed.

The agency failed to ensure staff were following acceptable standards of practice by actively screening patients prior to performing home visits and actively taking their own temperatures and documenting absence of illness or signs/symptoms of COVID-19 for 1 of 1 agency reviewed.

The agency failed to adhere to the discipline specific visit frequency as ordered in the plan of care (POC) for 1 (#4) of a total sample of 8 records reviewed.

The agency failed to ensure that all medications were included on the plan of care for 1 (Patient #2) of 6 active records and failed to ensure that accuracy of the medication profile based on the plan of care for 1 (Patient #1) of 6 active records for a total sample of 8 clinical records reviewed.