St Luke's Home Health Services

The agency failed to ensure the patient's financial liability information was updated when a new service was ordered in one (Record/Patient #3) of five records reviewed.

The agency failed to maintain a complete/accurate medication profile in two (Record/Patient #1 and #3) of five records reviewed.

The agency failed to ensure the physical therapy (PT) and occupational therapy (OT) plan of care (POC) was reviewed with the physician after the initial evaluation visit in two (Record/Patient #3 and #4) of five records reviewed.

The agency failed to ensure the patient's caregiver received written instructions regarding wound care in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure the skilled nurse documented ongoing assessments in one (Record/Patient #3) of five records reviewed.

The agency failed to provide services as directed by the physician ordered plan of care (POC) in one (Record/Patient #3) of five records reviewed.

The agency failed to ensure a completed discharge summary was sent to the primary care physician or other professional who would be responsible for providing care and services to the patient after discharge from the agency/services within five business days of the patient's discharge in one…

The agency failed to ensure each patient had an individualized emergency plan documented as part of the patient's comprehensive assessment in four of four applicable records ((Record/Patient #1, #2, #3, #4).

The agency failed to ensure the skilled nurse (SN) documented a complete and accurate comprehensive assessment in but not limited to three of five records (Record/Pateint #1, #4, #5).

The agency failed to ensure the plan of care contained complete and accurate information/orders for wound management, diabetic management, and congestive heart failure disease management in but not limited to, three of five records.

The agency failed to ensure staff provided patient's ongoing education and training in but not limited to two of five records (Record/Patient #3, #4).

The agency failed to ensure staff provided services as ordered on the plan of care in but not limited to two of five records (Record/Patient #2, #5).

The agency failed to ensure the home health aide coordinated with the registered nurse (RN) with changes in the patient's condition in but not limited to one of two applicable records (Record/Patient #2).