Simply Home Health, LLC

The agency failed to ensure that the agency included the use of volunteers or other staffing strategies in its emergency plan.

The agency failed to ensure wound care orders were being followed for 1 of 3 patient's receiving wound care (#2) and visits were being provided per the plan of care for 1 of 4 patients receiving OT services.

The agency failed to ensure all staff followed their infection control policies and standard precautions for 3 of 4 home visits observed (#5, 6).

The agency failed to ensure the registered nurse (RN) documented the correct intravenous (IV) medication for 1 of 1 IV records reviewed (#1), failed to ensure medication orders contained directions of use for 1 of 10 records reviewed (#1), and failed to ensure medications contained an indication…

The agency failed to ensure the plans of care were individualized and be supported by the comprehensive assessment and failed to ensure goals were present and measurable for all identified needs for 5 of 5 patient's receiving nursing services (#1, 2, 5, 6, 9) in a sample of 10. Findings include: 1.…

The registered nurse (RN) failed to write complete wound care orders for 1 of 3 patients receiving wound care (#2) in a sample of 10. Findings include: The clinical record of patient #2 was reviewed on 8/23/18 and indicated a start of care date of 4/11/18. The record contained a plan of care for…

The registered nurse (RN) failed to ensure the physician was notified to obtain alternative wound care orders for 1 of 3 patient's with wound care orders (#2) and to obtain medication orders, reported by the patient, for 1 of 1 medication reconciliation observed (#6) in a sample of 10. Findings…

The registered nurse (RN) failed to ensure that coordination occurred between the agency staff and facility staff for 1 of 1 patient's residing in an assisted living facility (#5) and failed to ensure that coordination took place between agencies for 1 of 1 shared patient's (#6) in a sample of 10.…

The registered nurse (RN) failed to perform a complete physical assessment per professional standards for 1 of 2 skilled nurse home visits.

The Registered Nurse failed to ensure the plans of care were individualized and be supported by the comprehensive assessment and failed to ensure goals were present and measurable for all identified needs for 5 of 5 patient's receiving nursing services (#1, 2, 5, 6, 9) in a sample of 10. Findings…

The registered nurse (RN) failed to ensure wound care orders were being followed for 1 of 3 patient's receiving wound care (#2) and the occupational therapist (OT) failed to ensure visit were being provided per the plan of care for 1 of 4 patients receiving OT services.

The registered nurse (RN) failed to follow their agency's policy and measure wounds weekly for 1 of 3 wound care records reviewed (#2).

The agency failed to ensure home health aide (HHA) supervisory visits were completed no less frequently every 14 days for 1 of 1 clinical records reviewed of patients receiving SN and HHA services (#5) in a sample of 10. Findings include: 1. The agency policy dated 7/26/18, titled "Supervision,"…

The agency failed to ensure the registered nurse (RN) performed a complete physical assessment per professional standards for 1 of 2 skilled nurse home visits.