Visiting Nurse Association

The home health provider failed to ensure that the patients received the home health services that were written on their individualized plan of care (POC) when the patients did not receive specific detailed pain assessment as ordered on the plan of care in one of five full records reviewed…

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in one of five full records reviewed (Record/Patient #3).

The home health provider failed to develop a complete/individualized plan of care (POC), in two of five full records reviewed (Records/Patients #2 and #3).

The home health provider failed to ensure each patient received complete/accurate written instructions related to their medication schedule/instruction in, but not limited to, one of three home visit observations (Record/Patient #3).

The home health provider failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire and failed to ensure all persons offered employment, registered with the Family Care Safety Registry (FCSR) prior to patient contact in one of four employee files reviewed…

The agency failed to ensure that the accepted standards of practice were used during wound care in one (Record/Patient #4) out of three home visits observed.

The agency failed to ensure skilled professional services were delivered according to the home health agency’s policies and procedures in one (Record/Patient #4) of five full record reviews.

The agency failed to ensure an accurate and complete review of all medications was completed upon admission/ SOC (start of care) in three (Records/Patients #1, #2, and #4) of five full record reviewed.

The agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, two (Records/Patients #2 and #3) of five full records reviewed.

The agency failed to ensure staff obtained a physician order for treatment and services which affected two (Records/Patients #1 and #3) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in, but not limited to, three (Records/Patients #1, #3, and #6) of six records reviewed.

The agency failed to provide services that were ordered by the physician as indicated in the plan of care in one (Record/Patient #4) of five full records reviewed.

The agency failed to ensure a qualified, pre-designated person who is authorized in writing by the administrator and the governing body assumes the same responsibilities and obligations as the administrator when the administrator is not available.

The agency failed to ensure professional management of the patient when the agency failed to: - Provide ongoing interdisciplinary assessment of the patient (G706); - Develop and evaluate the patient's plan of care in partnership with the patient and/or caregiver (G708); - Provide patient and…

Agency to ensure compliance with the bordering states home health statutes (G860).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must inform the patient and representative (if any) of the agency's policies for transfer and discharge.

The skilled nurse (SN) failed to follow accepted standards of practice/infection control measures during a home visit observation for one (Record/Patient #3) of five home visits.

The agency failed to ensure the registered nurse (RN) documented specific comments regarding the tasks observed and the aides performance as required in two (Employee #5 and #6) of two home health aide employee files and failed to ensure all the required tasks had been completed before providing…

The agency failed to ensure its branch location in Overland Park, Kansas fully functioned as a branch location and complied with the bordering states home health statutes.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the state hotline hours (7:00 AM to midnight).

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include, if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for a discharge for…

The agency failed to document the resolution of the investigation with the complainant and failed to investigate the complaint in a timely manner, in three (Complaints #1, #2 and #3) of five complaints.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in, but not limited to, two (Records/Patients #3 and #4) of ten records reviewed.

The agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, two (Records/Patients #1, and #8) of ten records reviewed.

The agency failed to provide the patient/caregiver with a copy of written instruction outlining the visit schedule, including the frequency of visits in, but not limited to, one (Record/Patient #3) of five home visit observations.

The agency failed to ensure each patient received complete/accurate written instructions related to their medication schedule/instruction in, but not limited to, two (Records/Patients #3 and #4) of five home visit observations.

The agency failed to ensure accurate assessments were conducted in, but not limited to, two (Records/Patients #3 and #8) of ten records reviewed.

The agency failed to ensure the plan of care (POC) was developed in partnership with the patient/caregiver in, but not limited to, one (Records/Patient #3) of 10 records reviewed.

The agency failed to ensure patient/caregiver education was provided in, but not limited to, one (Record/Patient #8) of ten records reviewed.

The agency failed to ensure that the agency clinicians effectively communicated with all physicians or other health care practitioners related to the patient's current plan of care in, but not limited to, one (Record/Patient #3) of ten records reviewed.

The agency failed to: - Ensure staff obtained a copy of a Durable Power of Attorney (DPOA, enables a trusted person to handle affairs if one becomes mentally incapable of making decisions) upon admission to the home health agency in, but not limited to, one (Record/Patient #4) of ten records…

The agency failed to ensure the registered nurse (RN) completed a discharge summary to send to the physician responsible for the patient's care after discharge in, but not limited to, one (Record/Patient #8) of three discharge records reviewed.