Southcoast Visiting Nurse Association Inc

The agency failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for 1 Patient (#9), out of a total sample of 17 patients.

The agency failed to ensure that the physician ordered plan of care was followed for five Patients (#2, #6, #9, #3, and #10), out of 17 sampled patients.

The agency failed to ensure nursing services were provided under the supervision of a registered nurse (RN) for 1 patient (#4) out of 17 sampled patients.

The agency failed to complete a supervisory assessment of the Home Health Aide (HHA) services being provided no less frequently than every 14 days for 1 Patient (#4), out of 17 sampled patients.

The agency failed to ensure that staff received ongoing training and/or testing in Emergency Preparedness as required.

The agency failed to ensure that for one Home Visit (HV#1), out of a total of seven HVs, that acceptable infection control measures were followed to prevent the potential transmission of disease during wound care.

The HHA failed to ensure that 17 ( HV#1, HV#2, HV#3, HV#4, HV#5, HV#6, HV#7, RR#1, RR#2, RR#3, RR#4, RR#5, CR#1, CR#2, CR#3, CR#4 & CR#5) of 17 sampled records, had individualized emergency plans as part of the comprehensive assessments.

The HHA failed to ensure that for 2 patients (HV#1 and RR#3) of 17 sampled patients, there was supervision of skilled professional assistants.

The Home Health Agency (HHA) failed to ensure that physician ordered services in the plan of care were provided for 7 (HV #2, HV #4, CR #2, HV #7, RR #5, CR#3 and CR #5), of 17 sampled patients.