Together Homecare of Evansville LLC

The agency failed to ensure that all patients received education and had the ability to access written documentation such as the Plan of Care (POC), updates to the POC, medication list, updates or revisions, any treatments to be administered, and any other instructions related to the patient’s care…

The agency failed to follow written physician orders on the plan of care for 2 of 7 records reviewed (Patient 1 & 5) and for 1 of 3 home visit observations (Patient 2).

The agency failed to ensure orders on the plan of care were accurate for 1 of 1 patients with a Baclofen (muscle relaxer) pump, a colostomy, and a central line (Patient 5); and for 1 of 2 patients with gastric tube feedings.

The agency failed to ensure standard infection control precautions were followed for 2 of 3 home visit observations.

The facility failed to ensure clinical record documents were accurate, legible, clear, and appropriately authenticated, dated and timed for 3 of 7 records reviewed (Patient 4, 5 & 6).

The agency failed to ensure the patient received all services outlined in the plan of care for 2 of 7 records reviewed (Patient 5 & 6).

The agency failed to ensure the plan of care accurately included all medications and treatments for 3 of 7 records reviewed.

The agency failed to ensure the skilled nurse administered medications and gastric feedings as ordered by the physician on the plan of care for 2 of 7 records reviewed.

The agency failed to ensure the current comprehensive assessment and plan of care contained updated information for 1 of 3 home visit observations.

The agency failed to integrate therapy goals into the plan of care for 2 of 3 home visit observations.

The agency failed to provide written instructions of which medications would be administered by the skilled nurse for 1 of 7 records reviewed (Patient 5).

The agency failed to ensure services ordered by the physician as indicated in the plan of care were provided for 1 of 3 home observation visits.

The agency failed to ensure a HHA (home health aide) reported changes in a patient's skin condition to the registered nurse as indicated on the plan of care for 1 of 7 records reviewed (Patient 1).

The agency failed to provide all services as written on the plan of care for 2 of 4 patients.

The agency failed to ensure all services in the plan of care were provided for 2 of 4 patients.