Visions Health Systems, LLC

The Home Health Agency (HHA) failed to ensure that Home Health Aide services were assigned by and under the supervision of a Registered Nurse or other appropriate skilled professional, for 3 of 3 sampled patients (Patient #1, #2 and #3).

The Home Health Agency (HHA) failed to establish a written informed consent agreement between the Home Health Agency and the patient or the patient's legal representative for the Home Health Aide's provided services for 3 of 3 sampled patients (Patient #1, #2 and #3).

The Home Health Agency (HHA) failed to establish a Home Health Aide written assignment by a Registered Nurse or licensed health professional employee and failed to keep records documenting the Home Health Aide's "care activities," for 3 of 3 sampled patients (Patient #1, #2 and #3).

The HHA failed to follow the physician's orders for 1 of 3 sampled patients, as evidenced by the Skilled Nurse (SN) documenting the incorrect dosage and frequency of antibiotics (Patient #1).