Virginia Healthcare Services

Agency staff failed to document coordination of care to ensure patients received the necessary care for three (3) of seventeen (17) clinical records reviewed in the survey sample (clinical record #6, 12, and 13).

The agency failed to ensure that each patient received home health services as ordered in the plan of care.

The agency failed to ensure at least one qualifying service was provided directly through agency employees.

The agency staff failed to ensure that documents in the clinical records were clear, legible and authenticated for one (1) of seventeen (17) patients in the survey sample (patient #17).

The agency failed to inform the patient regarding the disciplines that would furnish care and the frequency of those disciplines' visits for three (3) of seventeen (17) patients whose clinical records were reviewed during the survey: Patients # 3, 5, and 9. Findings: Two (2) Medical Facilities…

The agency failed to ensure the patient was informed at the time of admission regarding the charges the patient may have to pay for home health services before care is initiated for eight (8) of seventeen (17) patients in the survey sample (patient #'s 1, 2, 3, 4, 5, 9, 12 and 15) The findings…

The agency failed to ensure the patient's medication profile contained a review of all medications the patient is currently using for two (2) of two (2) patients in the survey sample receiving Intravenous (IV) therapy (patients #2 and 17).

The agency failed to update the comprehensive assessment within 48 hours of a patient's return home from a hospital admission of 24 hours or more for one (1) of two (2) patients who had a resumption of care following a hospital admission and whose clinical record was reviewed during the survey…

The agency failed to ensure the patient's individualized plan of care included patient stated goals for five (5) of seventeen (17) patients in the survey sample (patient #s 1, 2, 3, 4, and 5).

The agency failed to ensure all patient care orders were documented in the plan of care in two (2) of seventeen (17) clinical records reviewed in the survey sample (patient #'s 2, and 17) The findings were: Seventeen (17) clinical records were reviewed in the agency 2/03/2020 through 2/05/2020 with…

The agency failed to provide treatments only as ordered by a physician.

The agency failed to send a completed transfer summary to a hospital where a patient was admitted for care within two (2) business days of becoming aware of the unplanned transfer for one (1) of two (2) patients with unplanned hospital admissions and whose clinical records were reviewed during the…