Tomcat Hc LLC

The home health agency failed to provide a copy of the plan of care to the patient for 2 of 2 home visit observations in a private home with review of the patient’s home folder (Patients #5, 8).

The agency failed to ensure employees followed standards of practice for hand hygiene, bag technique and cleaning of equipment to reduce the spread of infections for 2 of 2 home visit observations with a SN (Patient #7 and 8).

The agency failed to ensure the RN provided written instructions for the HHA to use a Hoyer for transferring for 1 of 2 patients who required a Hoyer lift (Patient #2).

The home health agency failed to ensure an accurate review of all medications for 3 of 3 home visit observations with medications reviewed (Patient #5, 7 and 8).

The home health agency failed to ensure all required information was included in the POC for 8 of 8 active patient records reviewed (Patient #1, 2, 3, 4, 5, 6, 7, 8).

The home health agency failed to document wound care orders as received from the wound clinic for 1 of 1 home visit observation of a patient receiving wound clinic services (Patient #8).

The home health agency failed to provide a visit schedule to the patient for 2 of 2 home visit observations in a private home with review of the patient’s home folder (Patients #5, 8).

The home health agency failed to provide a copy of the current medication list to the patient for 2 of 2 home visit observations in a private home with medication reviewed (Patient #5, 8).

The home health agency failed to provide the patient with a copy of the aide care plan for 2 of 2 home visit observations with HHA services with review of the patient’s home folder (Patient #5 and 8).

The home health agency failed to provide the patient and/or caregiver with the clinical manager information for 2 of 2 home visit observations in a private home with review of the patient’s home folder (Patient #5, 8).

The RN failed to adequately assess heart tones for 1 of 1 home visit observation with a head-to-toe assessment (CM).

The RN failed to perform a head-to-toe assessment for 1 of 1 home visit observation with a head-to-toe assessment ordered on the POC (CM).

The agency failed to ensure HHAs reported changes in the patient’s skin for 1 of 1 patients with severe sunburn (Patient #6).

The home health agency failed to ensure HHA supervision visits for patients receiving skilled services were performed at least every 14 days for 2 of 7 active patients receiving HHA services (Patient #4, 8).

The agency failed to ensure staff followed infection control policies and procedures for 2 of 3 home visit observations.

The agency failed to ensure staff followed infection control policies and procedures for 1 of 4 home visit observations (patient # 1).

The agency failed to ensure the home health aide (HHA) followed the patient's written care instructions and identified in the patient's Individual Service Plan in 1 of 4 home observation visits and in 1 of 5 clinical records with HHA services ordered, in a universe of 13 clinical records reviewed.

The agency failed to ensure all patient care orders were written timely and recorded in the plan of care in 1 of 13 clinical records reviewed (# 8).

The agency failed to ensure the revised plan of care reflected continuing orders for occupational therapy for 1 of 13 clinical records reviewed (#8).

The agency failed to ensure a qualified, pre-designated person was established and authorized in writing by the administrator and the governing body, to fulfill the role of administrator in the administrator's absence for 1 of 1 agency.