Worth County Phns

The agency failed to complete a Drug Regimen Review (DRR) with all required components for 6 of 6 sampled patients requiring DRRs (Patients #1, #2, #3, #4, #6 and #7).

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient for 2 of 3 home visit observations (Patients #2 and #3).

The agency failed to maintain the Plan of Care for patients and to update the Plan of Care with any new verbal/interim physician orders for 1 of 2 sampled patients with new orders following a resumption of care (Patient #3).

The agency: 1) failed to update the comprehensive assessment the last 5 days of every 60 days beginning with the start of care date (G546); 2) failed to failed to update the comprehensive assessment within 48 hours of the patient's return home from a hospital admission of 24 hours or more for any…

The agency: 1) failed to admit patients to service based on the reasonable expectation the agency could meet the patient's medical, nursing, rehabilitative and social needs in the patient's place of residence (G570); 2) failed to ensure staff followed the Plan of Care as ordered by the physician or…

The home health agency failed to ensure the clinical record included completion of an individualized emergency preparedness plan or review of the patient's individualized emergency plan as part of the comprehensive assessment for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #8 and #10)…

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 5 of 8 sampled patients (Patients #2, #4, #5, #8…

The agency failed to ensure 1 of 2 sampled home health aides (Staff D), demonstrated completion of all basic skills prior to providing care independently to any of the home health agency patients.

The agency failed to ensure authentication of staff documentation in each patient's clinical record included the date and time of the employee signature for 8 of 8 sampled patients (Patients #1, #2, #3, #4, #5, #6, #7, and #8).

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments with accompanying drug regimen review between day 56 and 60 of each 60 day certification period for 3 of 9 sampled patients requiring an update to the comprehensive assessment…

The agency failed to ensure completion of the update to the comprehensive assessment with accompanying drug regimen review within 48 hours of the agency's knowledge of return home from an inpatient facility by performing an onsite assessment of the patient for 2 of 2 sampled patients requiring a…

The agency failed to ensure completion of all required components of the discharge comprehensive assessments within 2 calendar days of identification of the need to discharge a patient for 2 of 3 sampled patients requiring a discharge comprehensive assessment (Patients #8 and #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and accurate medication orders for 4 of 8 sampled patients (Patients #1, #2, #3, and #4,).

The agency failed to provide services only as ordered by the physician for 2 of 8 sampled patients (Patients #5 and #7).

The agency failed to notify the physician of changes that suggest a need to alter the Plan of Care for 1 of 8 sampled patients (Patient #8).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 2 of 5 sampled patients receiving home health aide services…

The agency failed to ensure a registered nurse completed home health aide supervision at least every 60 days while observing the home health aide present and providing direct patient care for 1 of 2 sampled patients who received hands on personal care services with no skilled service provision.

The agency failed to obtain and follow a written Plan of Care established and periodically reviewed by a doctor of medicine, osteopathy or podiatry for 4 of 7 sampled patients receiving (Patients #1, #4, #5 and #7).

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 3 of 3 sampled patients receiving home health aide services (Patients #1, #3 and #7).

The agency failed to provide an initial assessment visit within 48 hours of receipt of referral from a physician or physician designee, within 48 hours of the of the agency's knowledge of the patient's return home from an inpatient facility or on the physician ordered start of care date for 2 of 4…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment used by the patient and accurate medication orders for 3 of 7 sampled patients (Patients #1, #2 and #3).