Trinity Home Health of Arkansas

Findings Follows: Based on clinical record review, it was determined the HHA (Home Health Agency) failed to create an individualized POC (Plan of Care) in 1 (#2) of 18 (#1-#18) charts reviewed.

The Skilled Nurse (SN) failed to follow accepted professional standards for infection control in 1 (#1) of 7 home visits observed (#1-#7).

The Occupational Therapist (OT) failed to follow physician's orders by not alerting him/her for an SPO2 (pulse oximetry) below 90% in 1 (#1) of 10 (#1-#10) records reviewed.

This was a repeat deficiency from the previous Recertification survey 1/17/2019. Based on clinical record review and staff interviews, it was determined the Skilled Nurse (SN) failed to update and check for interactions for one (#1) of 10 (#1-#10) clinical records reviewed.

This is a repeat deficiency from Recertification survey 1/17/2019 Based on Clinical Record Review and staff interview, the agency failed to alert the Physician to changes in patient's condition which may have necessitated a change to the patients Plan of Care (POC) or treatment in one (#1) of 10…

The Skilled Nurse (SN) failed to include all medications the patient was currently using during a review of the patients medication regimen in 2 (#4 and #7) of 17 (#1 - #17) Clinical Records reviewed.

The Agency failed to alert the Physician of relevant assessment findings which may have necessitated an alteration in the Plan of Care (POC) in 1 (#3) of 13 (#1 - #13) Clinical Records reviewed.