Well Care Home Health

The agency failed to document an incident report for 1 of 1 patient with falls (patient #1).

The agency failed to include an order for Social Worker (SW) visits in the plan of care for 1 of 1 patient with a referral for SW visits (patient #1).

The plan of care for 2/23/26-4/23/26 included orders for skilled nurse visits 2 times a week for 1 week, 1 time a week for 2 weeks, 1 every other week for 6 weeks with 3 PRN (as needed) and “Ozempic 0.25 mg or 0.5 mg (injectable non-insulin antidiabetic drug) subcutaneous (sub-Q) pen, inject Sub-Q…

The agency failed to notify the physician that the caregiver was changing the patient’s indwelling catheter for 1 of 1 record reviewed of patients with a caregiver changing the indwelling catheter (Patient #1).

The agency failed to respond to a caregiver’s call to the agency for assistance with the patient’s indwelling catheter for 1 of 3 records reviewed of patients with an indwelling catheter (Patient #1).

The agency failed to change an indwelling catheter according to the ordered frequency for 1 of 3 (Patient #3) patients with indwelling catheters.

Staff interview the agency failed to coordinate with the physician regarding wound treatment for 1 of 1 patient [#1]; failed to coordinate timely discharge for 1 of 1 patient [#2]; and failed coordinate need for increased visit frequencies to fill medication planner for 1 of 1 patient [#3]. The…

The agency failed to document baseline wound measurements for a wound with orders to monitor; failed to accurately document care performed; failed to document specifics of wound care provided; and failed to document communication with outside agency for 1 of 1 patient [Patient #1]. The findings…

The agency failed to document suprapubic catheter change for 1 of 1 patients [#1]; failed to document response to call from on-call service for 1 of 1 patients [#2] and failed to document details of what the PICC [peripherally inserted catheter/tube surgically placed into large vein to give fluids…