Suncrest Home Health

Staff interviews the SN [skilled nurse] failed to obtain PICC [peripherally inserted central catheter, is a long, thin tube inserted into a vein and guided to a central vein in the chest, allowing for long-term access to the bloodstream] line measurements for 1 of 1 patient with a PICC line [#13].…

Staff interviews the Plan of Care [POC] failed to included all the medications/correct medications the patient was taking for 5 of 7 patients who recieved home visits [#6, 11, 12, 7 and 8]; and the POC failed to include any vital sign parameters for 1 of 5 discharged records [# 5]. The findings…

The agency failed to obtain a physician's order for a urine specimen obtained via in and out catheterization for 1 of 1 patients with an indwelling catheter [#15]; and failed to obtain a physician's order to increase the bulb size of an indwelling catheter for 1 of 1 patients with an indwelling…

The agency failed to notify the physician of changes in patient condition for 3 out of 12 patients current on service [#12, #16, #17]. The findings included: 2. Patient # 16 had a Start of Care date of 4/17/25 with an admitting diagnosis of multiple fracture of ribs, right side.

The skilled nurse failed to include specific items on the Plan of Care related to caring for 1 of 1 patient with a PleurX drainage system [a type of indwelling catheter used to drain excess fluid from the chest or abdomen] [#17]. The findings included: A policy, Plan of Care (POC) [4/1/25] was…

The skilled nurse failed to document information related to the drainage [amount of drainage/appearance of drainage] obtained when accessing a PleurX [type of indwelling catheter used to drain excess fluid from the chest or abdomen] for 1 of 1 patient with a PleurX [#17]. The findings included…

Staff interviews the agency failed to provide SN [skilled nursing] services [frequency] in accordance with the Plan of Care [POC] for 1 of 14 active records [# 19 ]. The findings included: Patient # 19 had a Start of Care [SOC] date of 4/15/55 and an admitting diagnosis of Unspecified Open Wound to…

Staff interviews the agency failed to follow the Plan of Care [POC] related to wound care for 2 of 11 records with a wound [#4, 5]; notifying the physician when vital signs were out of the given parameters for 1 of 5 discharged records [#12]; related to weight bearing restrictions for 1 of 8…

The registered nurse failed to change gloves/perform hand hygiene after cleaning a wound and before obtaining clean 4x4's from a pack of clean 4x4's for 1 of 5 virtual visits [#16]. The findings included: Patient #16 had a Start of Care 02/28/2022. The Plan of Care (POC) for the certification…

The agency failed to assess and provide nursing services as ordered for 1 of 1 record with a delay in skilled nursing Start of Care.

Staff interviews the agency failed to include all components to the Plan of Care [POC] for 2 of 19 records reviewed[#3, 16]. The findings included: The policy, Plan of Care [revised date 12/02/21], was provided by RN # 12 on 6/14/22 at approximately 1:15 pm.

Staff interviews the agency failed to communicate with the physician when a patient had indications of self-inflicted wounds for 1 of 1 record reviewed [#5]; changes in a wound status/new areas of breakdown for 2 of 10 records with a wound [#9, 19]. Findings include: The policy, “Coordination of…

The agency failed to follow up timely with the physician regarding a new onset of urinary burning with odor for 1 of 19 clinical records reviewed (#2), failed to notify the physician that the patient was not weighing herself and/or did not have a scale for 1 of 19 clinical records reviewed (#2)…

The clinical record failed to include a transfer summary for 1 of 5 discharged records [#5]. The findings included: Patient # 5 had a Start of Care [SOC] date of 5/5/22 and an admitting diagnosis of Unspecified Open Wound of Right Breast.

Staff the agency failed to follow physicians orders/Plan of Care [POC] for 2 of 2 patients with a PICC [Peripherally Inserted Central Catheter] line [# and 6]; and failed to assess patient for home health aide services for 1 of 1 patients with an order to assess for home health aide services [#12].…

The agency failed to follow infection control practices for 1 of 1 home visits with a catheter change observed (#11).

Home observation and interviews with staff the Registered Nurse failed to follow agency policy for removal of 1 of 1 patients [#9] who had PICC [Peripherally Inserted Central Catheter] line removed #9] observed.

Caregivers and staff the initial individualized Plan of Care [POC] did not include all medications/dosages for 4 of 7 patients [#9, 12, 15, and 11] who received home visits.

The agency failed to develop and follow individualized Plans of Care regarding wound care and blood sugar monitoring for two out of five patients (# 1 and 3).