Ste Genevieve Co Memorial Hosp Home Health Agency

The home health provider failed to maintain an accurate/updated medication profile in one of three home visit observations conducted (Record/Patient #2).

The provider failed to ensure the plan of care (POC) included all required treatments, in one of six records reviewed (Record/Patient #3).

The provider failed to ensure staff provided physician/allowed practitioner services as ordered on the plan of care (POC) in, two of six records reviewed (Records/Patients #2 and #3).

The provider failed to ensure the staff developed or sent a discharge summary in one of two discharge records reviewed (Record/Patient #6).

The agency failed to provide care and services that met the requirements for the Condition of Participation: Care Planning, Coordination of Services and Quality of Care.

The agency failed to develop and implement policies and procedures that include a process for ensuring the implementation of additional precautions, intended to mitigate the transmission and spread of COVID-19, for all staff who are not fully vaccinated for COVID-19. This deficient practice has the…

The agency failed to ensure skilled professional services were delivered according to the agency’s policies and procedures in one (Record/Patient # 1) of three home visit observations conducted.

The agency failed to ensure the supervision of skilled professional assistants in one (Record/Patient #2) of five full records reviewed.

The agency failed to provide patients with the correct hours of operation for the state toll free home health hotline telephone number.

The agency failed to ensure the registered nurse performed an accurate review/update of all medications the patient was currently using in, but not limited to, two (Records/Patients #1 and #2) of five full records reviewed.

The agency failed to include all the elements of an individualized plan of care in, but not limited to, three (Records/Patients #1, #2, and #5) of five full records reviewed.

The agency failed to ensure drugs, services, and treatments are administered only as ordered by a physician in one (Record/Patient #5) of five full records reviewed.

The agency failed to promptly alert the physician to any changes in the patient’s conditions or needs that suggest outcomes are not being achieved, and/or that the plan of care should be altered in three (Records/Patients #1, #2, and #4) of five full records reviewed.

The agency failed to ensure that an ongoing interdisciplinary assessment of the patient was performed in one (Record/Patient #2) of five full records reviewed.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to ensure that the contract for speech therapy services contained the statements that the home health agency must maintain overall responsibility for the services provided under arrangement as well as the manner in which the services are furnished and that the agency…

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional who will be responsible for providing services to the patient after discharge or a completed transfer summary is sent within two business days of a planned transfer…

The agency failed to provide individual emergency plans for each patient as part of the comprehensive patient assessment in, but not limited to, three (Records/Patients #2, #3, and #4) of five clinical records reviewed.

The agency failed to ensure the registered nurse (RN) performed an accurate and complete review/update of all medications the patient was currently using in, but not limited to, two (Records/Patients #1 and #2) of five cases reviewed.

The agency failed to ensure the plan of care included patient identified goals in, but not limited to, two (Records/Patients #4 and #5) of five cases reviewed.