Total Care Home Health Services, Inc

The agency failed to develop an individualized written plan of care that was authorized by the physician for 4 of 7 records reviewed (MR#1, 2, 3 and 4), resulting in services and care being provided by agency without physician verbal orders to specify the care and services necessary to meet the…

The agency failed to ensure the registered nurse included safety measures and written ostomy instructions for the home health aide in 2 of 2 (MR# 3 and 4) records reviewed in which the patient received home health aide services.

The home health agency failed to advise their patients of the names, addresses and telephone numbers of the federally and state funded entities that serve the area in which each patient resides, resulting in the potential for unmet patient care needs for all patients currently serviced by the…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine significant drug interactions and duplicate drug therapies in 6 of 7 (MR# 1, 2, 3, 4, 5, and 6) records reviewed, resulting in the potential for harmful medication effects for the 20 patients…

The agency failed to ensure on-site supervisory visits to the patient's home were made at least every 14-days in order to supervise the care provided by the home health aide for 2 of 2 (MR#3 and 4) record reviewed in which aide services were provided for a period of time greater than 2 weeks…

The agency failed to provide one qualifying service directly by the home health agency staff, resulting in the potential for the agency not providing quality services to patients.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge and failed to contain all the required elements for 2 of 2 (MR# 3 and 7) records reviewed in which the patient was discharged from the agency, resulting in the physician not…