Vna & Hospice of Cooley Dickinson

The agency failed to ensure infection control guidelines were maintained during an observation of a wound dressing change for 1 patient (#7), out of a total of 7 patient home visits.

The agency failed to ensure clinical documentation was complete and appropriately authenticated and dated in accordance with currently accepted standards of practice for 7 patients (#2, #3, #6, #7, #9, #13 and #14), out of a total sample of 17 patients.

The agency failed to ensure a registered nurse (RN) provided supervision of the care provided by a licensed practical nurse (LPN) every 30 days for 4 patients (#3, #4, #7 and #8), out of a total sample of 17 patient records reviewed.

The Agency failed to ensure its staff conformed with the Physician orders for two Patients (#2 and #17), out of a total sample of 17 Patients.

The Agency failed to ensure its staff signed clinical notes within 24 hours after providing a home visit for 13 Patients (#1, #4, #11, #12, #13, #14, #15, #2, #3, #5, #9, #16 and #17), out of a total sample of 17 Patients.

The Agency failed to ensure its staff communicated with the Physician when there was a change to the plan of care for two Patients (#2 and #13), out of a total sample of 17 Patients.

The Home Health Agency (HHA) failed to develop Individual Emergency Preparedness Plans for seven Patients ( #2, #3, #5, #6, #7, #8 and #9) out of a total sample of 10 patients.

The Home Health Agency (HHA) failed to ensure the physician was notified of a change in the plan of care for one Patient (#6), in a total sample of 10 patients.