Southeast Homecare

The provider failed to ensure the care follows the written plan of care (POC) established by the physician on 1 out of 3 Sampled Patients (SP).

The provided failed to promptly alert the relevant physician(s) to any changes that suggest the plan of care should be altered for 1 out of 3 Sampled Patients (SP).

The home health agency staff failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 1 out 3 Sampled Patients (SP).

Telephone interview conducted with the Registered Nurse (RN) on 07/02/19 at 3:10 PM, the RN stated that she/he does not remember calling SP#3's physician to notify of the increased size in depth on 02/25/19 and nor when the wound did not need further packing as noted on 03/05/19. The RN added that…

The provider failed to ensure that the patient was informed in advance of the disciplines that will furnish care and the frequency of visits proposed to be furnished on 1 out of 4 Sample Patients (SP).

The home health agency failed to provide the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient: the extent to which payment for home health agency (HHA) services may be expected from…

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 4 Sampled Patients (SP) with home visit made.

The provider failed to include in the individualized plan of care the frequency and duration of visits to be made on 1 out of 4 Sampled Patients (SP).

The provider failed to ensure and document that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide by a Registered Nurse or other appropriate skilled professional in 1 out of 4 Sample Patients (SP).

The provider failed to ensure that care followed physician orders for 2 out of 4 (#3, #4) sample patients.

The provider failed to include in the individualized plan of care the following: Information related to any advanced directives on 4 out of 4 Sampled Patients (SP) actively receiving services.

The provider failed to have the home health agency staff administer treatments only as ordered by a physician for 1 out of 4 Sampled Patients (SP).

The provider failed to promptly alert the relevant physician(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for 1 out of 4 Sampled Patients (SP).

The provider failed to demonstrate integration of orders from all physicians involved in the plan of care to assure the coordination of all services and interventions provided to the patient for 1 out of 4 Sampled Patients (SP).

The home health staff failed to prepare and record clinical notes for 1 out of 4 Sampled Patients (SP).

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 4 Sample Patients (SP).