Spectrum Home Health Agency

The agency failed to ensure medication reconciliation was performed on 2 of 3 Home Visits (HV), including HV # 1 and HV # 3. This had the potential to affect all patients served by the agency.

The home health agency failed to review and/or update the EP plan every two years.

The agency failed to develop policies and procedures for emergency staffing strategies during an emergency.

The agency failed to conduct a Full Scale Community or Facility Based Testing Exercise in 2021. Findings include: Review of the agency EP program revealed the facility conducted a Facility Based Exercise Fire Drill on 2/3/22 which included documentation of staff who participated, and an analysis of…

The agency failed to notify the physician when unable to obtain ordered labs.

The facility failed to conduct a performance improvement project (PIP) annually.

The agency failed to ensure staff performed hand hygiene and followed accepted standards of practice to prevent the transmission of infections.

The agency failed to ensure the Medicine Profile (MP) was current and accurate for all patients.

The agency failed to ensure policies and procedures had been updated and/or reviewed at least every 2 years.

The agency failed to ensure an initial assessment was completed within 48 hours after the agency received a referral for 2 of 7 medical records reviewed.

The agency failed to ensure medication reconciliation was performed on 1 of 3 Home Visits (HV), including HV # 2. This had the potential to affect all patients served by the agency.

The agency failed to ensure the home health aide followed the written plan of care and accurately documented the care provided.