Stat Home Health - Cenark, LLC

The agency failed to ensure Infection Control and Prevention practices were followed for 3 (#1, #2, and #4) of 7 (#1-#7) home visit observations conducted which included wound care and Peripherally Inserted Central Catheter (PICC) line dressing change.

The agency failed to ensure Infection Control and Prevention practices were followed for 3 (#1, #2, and #4) of 7 (#1-#7) home visit observations conducted which included wound care and Peripherally Inserted Central Catheter (PICC) line dressing change.

The Skilled Nurse (SN) failed to include all medications the patient was taking during the drug regimen review in 1 (#1) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) failed to ensure the patients Plan of Care (POC) included the required elements of all medication and treatments in 2 (#1 and #2) of 7 (#1 -#7) clinical records reviewed.

The agency failed to ensure there was an accurate medication profile in the patient's home for 6 (#1, #2, #4, #5, #6, #7) of 7 (#1 -#7) home visits.

The agency failed to document wound assessments and responses to wound care for 2 (#1 and #12) of 8 (#1 - #7, and #12) clinical records reviewed that had wounds.

The Registered Nurse (RN) did not provide timely oversight of the Aide through on-site Supervisory Aide Visits (SAV) every 14 days in 1 (#2) of 1(#2) Clinical Record reviewed with orders for Aide services.

The Agency did not coordinate care to assure identification of patient needs, communication of assessment findings and scheduling of follow-up assessments in 2 (#9 and #17) of 17 (#1 - #17) Clinical Records reviewed.

The Agency did not include all medications the patient takes in the patient's Clinical Record in 1 (#13) of 17 (#1 - #17) Clinical Records reviewed.

Staff interview the Agency failed to ensure a complete Discharge/Transfer Summary was sent to the Physician after discharge in 1 (#13) of 5 (#13 - #17) Clinical Records reviewed with transfer/discharge status.

The Agency failed to develop a written Emergency Preparedness (EP) program based on a comprehensive approach to meet the needs of their staff and patient population in that an Emergency Plan, Policies / Procedures, Communication Plan, Training and Testing Program and an Integrated Plan were not…

The Agency staff failed to develop an Emergency Preparedness (EP) Plan that included all required elements and failed to review and update the plan annually.

The Agency failed to develop written Emergency Preparedness (EP) Policies and Procedures that were based on a current EP Plan, contained all of the required elements and were reviewed / updated annually.

The Agency failed to develop a written Emergency Preparedness Communication Plan that contained required elements and was reviewed and updated annually.

The Agency failed to develop an Emergency Preparedness (EP) Training and Testing Program based on a current EP Plan and reviewed / updated annually.

The Agency failed to demonstrate participation in the development of an unified and integrated Emergency Preparedness Program for North Metro Medical Center.

Agency staff failed to follow accepted professional standards for infection control during a home visit for a Peripherally Inserted Central Catheter (PICC) dressing change in 1 (#3) of 6 (#1 - #6) home visits conducted.

The Registered Nurse (RN) failed to re-evaluate the needs of the patient following a change in the patients condition in 1 (#3 ) of 12 (#1-#12) Clinical Records reviewed in that the RN failed to reassess the patient following reported new/ worsening symptoms, a visit to the Emergency Room (ER) and…

The Agency staff failed to document accurate medications in 1 (#2) of 12 (#1-#12) Clinical Records reviewed in that all of the Patient's medications were not documented in the Clinical Record at the time of survey.

The Agency failed to complete an annual evaluation of the Agency's Policies and an administrative review was conducted to determine the extent to which the Agency's programs are appropriate, adequate, effective and efficient.