Tugaloo Home Health Agency, an Amedisy Company

The agency failed to follow the plan of care by not providing continuous oxygen at 3 liters per minute via nasal cannula and oxygen therapy interventions for one patient (P) (P#3) of five sampled patients.

The home health agency failed to provide services as ordered by the physician as indicated in the plan of care for one patient (P) (P#3) of five sampled patients.

The agency failed to ensure communication to the physician involved in the plan of care.

The agency failed to ensure that oxygen was initiated for one patient (P) (P#3) of five sampled patients (P) (P#3).

The agency failed to provide services ordered by the physician as indicated on the plan of care.

The agency failed to provide the patient with written notice of discharge and send all necessary medical information to the receiving healthcare practitioner upon discharge for one patient (P) (P#5) of four sampled discharged patients.

The hospice governing body failed to assume responsibility for the agency’s management and operation by failing to process and resolve complaints, failing to provide patients with written notice of discharge and send discharge summaries to the receiving healthcare practitioner upon discharge for…

The agency failed to process and resolve complaints for one patient (P) (P#5) of two patients sampled who submitted complaints to the agency.

The Administrator failed to conduct in-service training or have a plan to prevent the situation of not meeting patients’ needs, for 1 (one) of 3 (three) sampled patients (P#1).

The agency failed to provide services as ordered by the physician in the plan of care for 1 (one) of 3 (three) (#1) sampled patients.

The agency failed to notify physician about the aide’s missed visits, for 1 (one) of 3 (3) sampled patients (P#1).

The agency failed to ensure that the Home Health Aide (HHA) provided services to meet the patient’s needs 1 (one) of 3 (three) (#1) sampled patients.

The agency failed to ensure that patients' medication profiles were updated to reflect current medications for 4 of 17 (#1, #2, #14, and #17) sampled patients.

The agency failed to ensure the patients' individualized plans of care included all of the required elements to address the identified needs for 8 of 17 (#2, #6, #8, #10, #12, #14, #15, and #16) sampled patients.

Personnel furnishing services failed to maintain liaison to ensure their efforts were coordinated effectively and timely to support the objectives outlined in the plan of care for 1 of 17 (#14) sampled patients.

The agency's skilled professional staff failed to provide services as ordered by the physician in the plans of care for 4 of 17 (#2, #8, #12, and #14) sampled patients.

The agency failed to ensure aide supervisory visits were conducted at least every 2 weeks for 1 of 1 (#2) sampled patients that were receiving home health aide services.

The agency failed to ensure the clinical records included all interventions and responses to the interventions in accordance with professional standards for 7 of 17 (#1, #2, #3, #8, #10, #14, and #16) sampled patients.