| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017037 | (X3) Date Survey Completed 11/21/2019 |
| Name of Provider or Supplier Alabama Homecare Of Montgomery, Llc | Street Address, City, State 400 South Union Street Suite 285, Montgomery, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| G0682 | Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on observations, review of agency policies, and interview with staff it was determined that the agency failed to follow policy and accepted standards of practice for wound care. This affected 1 of 4 Home Visits (HV) with wounds including HV # 5 and had the potential to affect all patients served by this agency. Findings include: Policy: Wound Assessment, Documentation, and Photography Policy Number: 2.2.001 Revised: 9/1/17 ...Procedure:... 2. Perform wound care according to LHC adopted clinical skills guidelines and physician orders... Policy: Wound Care Best Practice: Dressing Change Competency Checklist Revised: 6/4/19 ...Wound Cleansing: 1. Adequately cleanse wound with either saline or wound spray 2. Blot dry with gauze 3. Remove and discard gloves and perform hand hygiene... 1. HV # 5 was admitted to the agency on 11/5/19 with diagnoses including Type 2 Diabetes Mellitus, Chronic Ulcer of Left Lower Leg, Chronic Ulcer of Right Lower Leg, and Essential (Primary) Hypertension. A HV was conducted on 11/20/19 at 8:35 AM to observe wound care provided by EI (Employee Identifier) # 5, LPN (Licensed Practical Nurse). EI # 10, RN (Registered Nurse), PCM (Patient Care Manager) accompanied the surveyor on the HV. EI # 5 removed the dressing from HV # 5 left leg and sprayed wound cleanser to the wounds and surrounding area of leg. EI # 5 then, with a single 4 x 4 gauze, wiped the wound and leg to dry returning several times to center of wound after wiping the surrounding skin. EI # 5 then removed the dressing from HV # 5 right leg and sprayed wound cleanser to the wounds and surrounding area of leg. EI # 5 then, with a single 4 x 4 gauze, wiped the wound and leg to dry returning several times to center of wound after wiping the surrounding skin. An interview on 11/20/19 at 9:40 AM with EI # 10, RN, PCM, who also observed the wound care, confirmed EI # 5 who confirmed the above observation. An interview was conducted on 11/21/19 at 10:40 AM with EI # 1, RN, Executive Director who confirmed the above findings. |