Well Care Home Health, Inc

The agency failed to record a physician’s verbal order for blood work 1 of 3 clinical records reviewed (Patient #3).

Staff interview the agency failed to communicate changes related to discharge for 1 of 3 patients with a catheter (#1).

Staff interview the agency failed to complete the comprehensive assessment within 48 hours of the patients return home from a hospital admission for 1 of 1 patients (#4).

Staff interview the agency failed to update the physician for changes to the plan of care for 1 of 1 patients (#4).

Patient/caregiver interview and staff interview the agency failed to follow the Plan of Care and document PICC [peripherally inserted central catheter] measurements on 3 of 3 patients [#1,2,3] and failed to document a discharge summary on 1 of 1 patient [#1]. The findings include: Review of policy…

2. Patient #1 was discharged on 11/21/19 as documented in the electronic medical record.

Patient interview and staff interview and the agency failed to follow the physician's order related to dressing change for 1 of 1 patient [#1]. The findings include: "Plan of Care ... Provision of Care, Treatment & Services ... Policy #: 03 ... Origination Date: 10/2000 ... Revision Dates ... 7/18…

Patient/caregiver interview and staff interview the agency failed to coordinate visit frequencies for 1 of 1 patient [#1]; and failed to coordinate resumption of care orders within 48 hours of discovering patient's discharge from the hospital for 1 of 1 patient [#2]. The findings include…

The condition is not met based on clinical record review, complaint log, policy and procedure review, review of wound vacuum guidelines, staff, patient/caregiver interview, the agency failed to have a system to assure all foam used with a wound vacuum were accounted for and removed from the wound…

The agency failed to have a system to assure all foam used with a wound vacuum were accounted for and removed from the wound for 4 out of 5 patients records reviewed [1, 4, 2 and 5]. Based on this practice an Immediate Jeopardy was identified with Patient #1. The Immediate Jeopardy started on…

The facility failed to follow the plan of care and provide physical therapy ordered visits to one of four patients (Patient #1).