Vital Home Health Care

The home health agency (HHA) failed to ensure the emergency preparedness training for staff was conducted at least annually.

The agency failed to use of standard precautions, to prevent the transmission of infections and communicable diseases (COVID-19) by failing to conduct screening visitors for signs and symptoms of COVID-19, and tested fitting of N95 masks for patient care staff.

The agency's skilled nurse failed to ensure the comprehensive assessment for pain management was incomplete for one of 13 sampled patients (Patient 8).

The HHA failed to review and document all the medications, the patient is currently taking for one of 13 sampled patients (Patient 8).

The agency's skilled nurses failed to obtain a physician order for two insulin medications for one of 13 sampled patients (Patients 1).

The home health agency (HHA) failed to follow the plan of care (POC) for one of 13 sampled patients (Patient 1), by failing to ensure the patient not given 9 units of Novolog insulin when the blood sugar level was at 300 mg/dl.

The agency's administrator failed to notify the Department for the agency change of location.

The agency staff failed to ensure care was provided for two of 17 sampled patients (Patient 2) followed the written plan of care (POC) that was established by the physician for each patient.

The home health agency staff failed to ensure that the physical therapist assessed the patient's pain level to ensure appropriateness of pain management for one of 17 patients (Patient 10).

The home health agency (HHA) staff failed to review all the medications and update the medication profile with currently used medications for one of 17 sampled patients (Patient 2).

The skilled nurses failed to administer drugs and treatments as ordered by the physician for one of 17 sample patients (Patient 3).