Springhill Home Health and Hospice

The agency failed to ensure the staff followed the agency policy for hand hygiene and bag technique.

The agency staff failed to review the medications and update the medication list for each patient.

The agency staff failed to ensure the physician was notified of patient noncompliance with glucometer testing.

The agency failed to ensure education was provided to the patient and/or caregiver with a return demonstration to determine competency for: 1. Tracheostomy Care 2. Newly diagnosed Urinary Tract Infection (UTI).

Agency policies and procedure and staff interview the agency staff failed to coordinate patient care with the physician for Medical Social Worker (MSW) services.

The agency failed to develop strategies for addressing emergency events identified by the risk assessment.

The agency failed to document staff participation in 2 out of 2 emergency plan activation events.

The agency failed to ensure: 1. Physician orders were followed for wound care, wound measurements, diabetic education, and depression assessments.

The agency failed to ensure: 1.. Blood sugar levels for diabetic patients were documented.

The agency failed to ensure infection control practices were followed in 2 of 5 home visits (HV), including HV # 1 and HV # 5 and had the potential to negatively affect all patients served by the agency.

The agency failed to ensure patient complaints were investigated and actions taken to resolve patient complaints.

The agency failed to provide patients with the correct state agency hotline telephone number for 1 of 5 Home Visits (HV) conducted.

The agency failed to ensure medications were reconciled in 3 of 5 home visits (HV) conducted and 1 of 8 records reviewed.

The agency failed to ensure all verbal orders were written and submitted to the physician for signature that were included in the plan of care.

The staff failed to ensure care and services are provided only as ordered by the physician.

The agency failed to ensure: a) Physician was notified of changes in the patient's condition. b) Reason for missed visits are documented.

The staff failed to communicate changes between disciplines to coordinate care in 2 of 7 records reviewed with therapy.

The agency failed to ensure: 1. Return demonstration was obtained to ensure pt/cg competency on the administration of Victoza.

The agency failed to ensure medical record documentation was complete and accurate with all events, treatments, and communications which included: 1) Collection of laboratory specimens, patient tolerance of the procedure and location of delivery for testing. 2) Review records for accuracy.

The Home Health Aide (HHA) failed to follow and notify the Registered Nurse (RN) of changes in the established Home Health Plan of Care (POC) for 2 of 3 records reviewed with aide services.