Traditional Home Health Care

The agency failed to ensure that the "Home Heath Care Certification and Plan of Care" included physician orders for social work (SW) services for two (2) of two (2) active patients for whom a "Medical Social Worker Visit Note" was generated.

The agency failed to ensure the "Home Health Care Certification and Plan of Care" included physician orders for gastrostomy (feeding tube) maintenance/care and tracheostomy (surgically created airway in the front of the neck)/ventilator (machine that provides assistance with breathing)…

The agency failed to ensure licensed practical nursing (LPN) staff assessed the ETCO2 (amount of carbon dioxide in exhaled air) for one (1) of two (2) active patients for whom a tracheostomy (surgically created airway in the front of the neck) was present.

The agency failed to ensure that a physician order was obtained to update the skilled nursing (SN) visit frequency for one (1) of three (3) patients/clients for whom a SN visit frequency change occurred during the certification period.

The agency failed to ensure documentation was maintained in the electronic clinical record that three (3) of three (3) patients/clients were provided written updates for a change in the skilled nursing visit frequency.