Stillwater Medical at Home

The agency failed to ensure development of an episodic Plan of Care after a comprehensive OASIS assessment for two (Patients #5 and #6) of 10 patients.

The agency failed to ensure individualized patient POC included: 1. weight reporting parameters for one (Patient #2) of 10 patients. 2. blood sugar reporting parameters for one (Patient #3) of 10 patients and; 3. SN catheter treatment/interventions or last changed/treatment due date related to…

The agency failed to ensure a physician order for OT to evaluate and treat with lymphedema therapy were a part of the patient’s plan of care for one (Patient #5) of 10 patients.

The agency failed to ensure: SN conducted weight assessments of one (Patients #2) of 10 patients; SN conducted blood sugar assessments of one (Patients #3) of 10 patients and; OT evaluation was conducted for one (Patient #5) of 10 patients.

The agency failed to ensure a completed transfer/discharge summary was provided for one (Patient #8) of 10 patients.

The agency failed to ensure an individualized patient POC that identified necessary parameters for pain reporting for 13 (Pt's #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 and #13) of 13 patients.

The agency failed to ensure SN visits were made in accordance with POC orders for two (Pt's #1 and #12) of 13 patients.

The agency failed to ensure one of 10 patients had access to their current plan of care.

The agency failed to ensure staff developed an individualized plan of care to include vital sign parameters ten (Pts #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 of ten patients.

The agency failed to specify a visit frequency for one (Pt #6) of ten patients.