Troy Regional Medical Center Home Health

The agency failed to ensure staff: 1. Maintained sterility throughout the Peripherally Inserted Central Catheter (PICC) Line dressing change.

The agency failed to ensure the comprehensive assessments were completed within five days of the Start of Care (SOC).

The agency failed to ensure patient medication profiles were accurate.

The agency staff failed to document the following per the physician orders: 1. Weight 2. Blood sugar 3. Oxygen saturation This deficient practice did affect three of thirteen records reviewed, including Home Visit (HV) # 3, MR # 8, MR # 5 and had the potential to affect all patient's served by the…

The agency failed to ensure the medications were reconciled in two of five home visits including Home Visit (HV) # 2, HV # 3, and one of five MR's reviewed with Diabetes, including MR # 4. This deficient practice had the potential to affect all patients served by this agency.

The agency failed to ensure the physician was promptly notified of: 1. A new wound.

Staff failed to communicate with the physician, changes in the patient's (Pt) condition that required a change in the plan of care (POC).

The nurse failed to update the Aide (HHA) Plan of Care (POC).

The agency failed to ensure the staff; 1. Provided wound care according to physician's orders, 2. Followed the visit frequencies as ordered by the physician, 3. Obtained patient's weight and notfied the physician as ordered by the physician.

The agency failed to ensure medications were reconciled for 2 of 5 home visits (HV) conducted, including HV # 2, HV # 4 and 1 of 4 MR's reviewed with oxygen, including MR # 1. This deficient practice had the potential to affect all patients serviced by this agency.

The agency failed to ensure an individualized Plan of Care (POC) was developed to meet the needs of: 1. A patient with a Warfarin administration.

The agency failed to ensure; 1. The physician was made aware of patient noncompliance with diabetic management, 2. The physician was notified of bloody urine in foley drainage bag of a patient with an indwelling catheter, and 3. The physcian was notified of changes in the patient's condition…

The agency staff failed to ensure documentation of the NPWT (Negative Pressure Wound Therapy) device dressing change included the number of foam pieces removed and applied to wound.

The agency failed to ensure: 1. The pt/cg was able to provide a return demonstration of a Foley catheter change.