Staff Builders Home Health, an Amedisys Company

The Governing Body failed to ensure overall management of the agency to ensure that staff followed the agency’s policies and procedures for code of conduct for the protection of one patient (P) (P#2) of three patients reviewed.

The Condition of Participation for Comprehensive Assessment of Patients was not in compliance as a result of the agency's failure to ensure starts of care were initiated within the 48 hours or referral or physician's requested start of care date for 3 of 17 patients (G-514), agency's failure to…

The Condition of Participation for Care Planning, Coordination, and Quality of Care was not in compliance as a result of the agency's failure to include orders to cover all pertinent diagnoses to ensure patients' needs were addressed and to ensure disease specific treatments/interventions were…

The agency staff failed to conduct an initial assessment within 48 hours of referral or on the physician ordered start of care date for 2 of 17 sampled patients (#1 and #15).

The agency failed to ensure that patients' medication profiles were updated to reflect current medications for 4 of 7 (#2, #4, #6, and #7) sampled patients.

The agency failed to ensure an updated comprehensive assessment was done at the time of the patient's discharge for 1 of 1 sampled patients (#9) requiring a discharge OASIS (Outcome and Assessment Information Set) assessment.

The agency failed to ensure the patients' individualized plans of care/treatment included all of the required elements to address the identified needs for 2 of 17 patients (#11 and #13 ).

The agency staff failed to ensure treatments were administered only as ordered by the physician for 2 of 17 (#14 and #15) sampled patients.

The agency staff failed to ensure that the physician was notified of any changes or needs to suggest that patient outcomes are not being achieved and failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for…

The agency's skilled professional staff failed to provide services as ordered by the physician in the plans of care for 6 of 17 ( #1, #4, #10, #11, #12, and #14) sampled patients.

The agency failed to ensure the patients' clinical record contained complete, clear, and accurate documentation of all services including: evaluations, treatments, and clinical notes to address the patients' needs for 10 of 17 (#1, #2, #4, #8, #9, #10, #12, #13, #15, and #17) sampled patients.