Unity Health Home Homecare

The agency failed to ensure standard infection control prevention was followed for #8 who received a catheter change and for #9 who received wound care of 7 (#6 -#12) patients who received clinical care during home visits.

The Skilled Nurse (SN) failed to include all medications from the patient's medication list to ensure all medications were checked for potential adverse drug reactions and interactions in 1 (#8) of 17 (#1 - #17) Clinical Records reviewed.

The agency failed to ensure additional services were provided to a patient in order to promote their health and safety while under their care for 1 (#7) of 17 (#1 - #17) clinical records reviewed.

The Agency Skilled Nursing (SN) staff failed to document interventions and responses to the interventions in three (#4, #5, and # 10) of seventeen (#1-#17) records reviewed.

The Agency did not ensure a Skilled Nurse (SN) conducted a review of all medications in 1 (#14) of 17 (#1 through #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 (#2) of 17 (#1 - #17) Clinical Records reviewed.

The Skilled Nurse (SN) did not develop a Plan of Care (POC) that included patient specific interventions based on assessments in 1 (#9) of 13 (#1 - #13) Clinical Records reviewed.

The Agency staff did not provide care in accordance with the written Plan of Care (POC) in 2 (#1 and #4) of 13 (#1 - #13) Clinical Records reviewed.

The Agency staff did not ensure accurate and timely documentation of care coordination and communication between the healthcare team members in 3 (#1, #9 and #11) of 13 (#1 - #13) Clinical Records reviewed.

Staff interview the Agency did not ensure a Transfer Summary was completed and sent to the receiving In-Patient Facility after patient transfer in 1 (#11) of 3 (#6, #7 and #11) Clinical Records reviewed where a patient transfer had occurred . This failed practice had the potential to place all 143…