Spiritrust Lutheran Home Care & Hospice

The agency failed to ensure complete documentation that the home health aides completed a minimum of sixteen (16) hours of classroom instruction that precedes a minimum of sixteen (16) hours of supervised practical training as a part of seventy-five (75) hours in three (3) out of four (4) home…

The agency failed to ensure complete documentation that the home health aides completed a minimum of sixteen (16) hours of classroom instruction that precedes a minimum of sixteen (16) hours of supervised practical training as a part of seventy-five (75) hours in three (3) out of four (4) home…

Agency staff failed to conform to physician orders for two (2) of three (3) records reviewed.

Agency failed to include all complete orders in POC for one (1) of three (3) records reviewed.

Agency failed to obtain and include verbal orders for one (1) of three (3) records reviewed.

Agency staff failed to promptly alert physician to changes in patient condition for one (1) of three (3) records reviewed.

Agency failed to complete the initial assessment within 48 hours of referral, or within 48 hours of the patients return home, or on the physician ordered start of care date for six (6) out of seventeen (17) clinical records (CR#3, CR#4, CR#7, CR#10, CR#14, CR#16).

Agency failed to have the total plan of care reviewed by the attending physician at least once every 60 days for three (3) out of seventeen (17) clinical records (CR#1, CR#2, CR#9).

The agency failed to ensure a qualified person is authorized in writing to act in the absence of the administrator for one (1) of one (1) observations (Observation #1).

The agency failed to notify the physician of the agency discharging a patient from home health services for three (3) of five (5) inactive CRs reviewed (CR#14-CR#16).