Tennessee Quality Care - Home Health

The agency failed to update the medication profile for 4 of 7 (Patient #2, #3 #5 and #7) sampled patients observed during home visits.

The agency failed to document the day service was rendered for 7 of 12 (Patient #4, #5, #7, #8, #9, #10, #11) patients reviewed.

The agency failed to ensure that the Quality Assessment and Performance Improvement (QAPI) program focused on indicators related to improved outcomes, including the prevention and reduction of medical errors for 1 of 1 (Patient #1) reviewed.

The agency failed to ensure appropriate nursing supervision of a certified nursing assistant (CNA #1) when CNA #1 provided services that were not ordered by the physician, not in accordance with the patients plan of care (POC), and out of the CNA's scope of practice for 1 of 1 (Patient #1) patient…

The facility failed to ensure a patient's rights by conducting a thorough investigation surrounding an incident(s) of medication administration by unlicensed personnel when a certified nursing assistant (CNA #1) acted out of her scope of practice for 1 of 1 (Patient #1) patient reviewed.

The facility failed to ensure that home health aide services were delivered in accordance with physician orders, the plan of care, state law, and consistent with home health aide training for 1 of 1 patient (Patient #1) reviewed.

The agency failed to ensure ordered visits were made according to physician's orders for 1 of 12 (Patient #6) active patients reviewed.

The agency failed to ensure an updated an accurate medication profile for 5 of 7 (Patient #2, #4, #5, #6, and #7) sampled patients with home visits.