Spirit Home Health Care

The visiting nurse failed to administer prescribed wound treatment as ordered for a Stage 3 pressure ulcer on the right lower extremity for one out of seven patients (Patient 10).

The home health agency (HHA) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding Patients' Rights was met as follows: 1.The HHA failed to provide information regarding discharge…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare [is federal health insurance for people…

The home health agency failed to meet the Condition of Participation for Care planning, coordination of services and quality of care as evidenced by: 1. Failure to implement interventions indicated in the plan of care (POC) for 2 out of 7 sampled patients (Patients 4 and 5).

The home health agency (HHA) failed to meet the Condition of Participation for Organization and Administration of services as follows.

The Home Health Agency (HHA) failed to provide information on discharge planning for one of seven sampled patients (Patient 6).

The home health agency (HHA) failed to ensure to conduct a comprehensive assessment (an examination of social and behavioral influences, health risks and information needs of patients and/or families/caregivers) that reflected the patient's current health status for one of seven sampled patients…

The home health agency (HHA) failed to ensure individualized plan of care (POC) were formulated and implemented for 2 out of 7 sampled patients (Patients 4 and 5).

The home health agency (HHA) failed to ensure a Director of Nursing was employed as part of the governing body (a group of people who formulate the policy and direct the affairs of the home health agency) to assume responsibility and oversee its clinical day to day operations.

The home health agency failed to employ a Director of Nursing (DON) or a DON Designee (a registered nurse appointed to perform certain duties on behalf of the DON) to provide oversight of all patient care services and personnel in the day-to-day operations of the home health agency.

The home health agency (HHA) failed to document and thoroughly investigate an alleged complaint (reporting a problem, expressing dissatisfaction) by a caregiver to the Registered Nurse 1 (RN 1) in their grievance (complaint) log and its resolution (decision) for one of seven sampled patients…

The home health agency (HHA) failed to review and update the "Medication Profile" (the information about the medicines a person is using and has used) with all the medications that patients were currently taking for two of seven sampled patient (Patients 4 and Patient 5).

The home health agency failed to ensure accurate name for 2 out of 7 sampled patients’ (Patient 4 and 5) primary care physicians were available in the clinical record.